FC Titanium PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FC TITANIUM PSC

Practice address

Bayamon Gardens
BB12 C Street
Bayamon, PR 00957-2467

Phone

(787) 409-4295

NPI assigned

Jan 27, 2014

Last updated

Jan 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Antonio Izcoa, DMD

Title

President

Phone

(787) 409-4295

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1225451305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYAMON GARDENS",
            "address_2": "BB12 C STREET",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON GARDENS",
            "address_2": "BB12 C STREET",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009572467",
            "telephone_number": "787-409-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FC TITANIUM PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "IZCOA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-409-4295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.