Organization Active NPI

Clinica Dental Doz

  • General Practice Dentistry
  • Carolina, PR
National Provider Identifier
1245587377
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CLINICA DENTAL DOZ
Practice address
1075 Calle Marginal Villamar Ext. Villamar
Isla Verde
Carolina, PR 00979-6346
Phone
(787) 727-3550
Fax
(787) 728-6855
NPI assigned
Aug 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Mrs. Wanda Suarez
Title
President
Phone
(787) 727-3550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1075 Calle Marginal Villamar Ext. Villamar
Isla Verde
Carolina, PR 00979-6346

Mailing address

1075 Calle Marginal Villamar Ext. Villamar
Isla Verde
Carolina, PR 00979-6346
Phone (787) 727-3550

National Provider Directory

National Provider Directory

Locations

1075 Marginal Villamar
Carolina, PR 00979
Phone (787) 727-3550

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1245587377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CALLE MARGINAL VILLAMAR EXT. VILLAMAR",
            "address_2": "ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796346",
            "telephone_number": "787-727-3550",
            "fax_number": "787-728-6855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CALLE MARGINAL VILLAMAR EXT. VILLAMAR",
            "address_2": "ISLA VERDE",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796346",
            "telephone_number": "787-727-3550",
            "fax_number": "787-728-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL DOZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-727-3550",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.