Organization Active NPI

Nadal & Nadal Dentista

  • Dentist
  • Mayaguez, PR
National Provider Identifier
1225104714
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
594 Issued in PR
Legal business name
NADAL & NADAL DENTISTA
Practice address
65 E Mendez Vigo
Mayaguez, PR 00680
Phone
(787) 833-0398
Fax
(787) 805-0398
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alfredo R Nadal Morals Jr., DMD
Title
Administrador
Phone
(787) 805-0398

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 2353 PR
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 594 PR Primary

Addresses

Primary practice location

65 E Mendez Vigo
Mayaguez, PR 00680

Mailing address

65 E Mendez Vigo
Mayaguez, PR 00680
Phone (787) 833-0398

Other identifiers 5

IdentifierTypeStateIssuer
042003OtherCRUZ AUEL
206077OtherPREFERRED HEALTH UTI
6800123OtherHUMANA
42066OtherTRIPLE S CORP
70446OtherPREFERRED MEDICAL CHOICE

National Provider Directory

National Provider Directory

Locations

65 Calle Mendez Vigo E
Mayaguez, PR 00680
Phone (787) 833-0398

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225104714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 E MENDEZ VIGO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-0398",
            "fax_number": "787-805-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E MENDEZ VIGO",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-833-0398",
            "fax_number": "787-805-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADAL & NADAL DENTISTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NADAL MORALS",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-805-0398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "2353",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AUEL",
            "identifier": "042003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH UTI",
            "identifier": "206077",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6800123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S CORP",
            "identifier": "42066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL CHOICE",
            "identifier": "70446",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.