Dental Care Center LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

D12868-8 Issued in PR

Legal business name

DENTAL CARE CENTER LLC

Practice address

Oficina 211
Torre San Cristobal,
Ponce, PR 00780

Phone

(787) 675-4596

NPI assigned

Mar 10, 2016

Last updated

Mar 10, 2016By 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. Juan C Marrero Gratacos, MD

Title

Dentist

Phone

(787) 675-4596

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1245691740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "EL SENORIAL PLZ # 1326",
            "address_2": "CALLE SALUD SUITE 107",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171686",
            "telephone_number": "787-675-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OFICINA 211",
            "address_2": "TORRE SAN CRISTOBAL,",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-675-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "MARRERO GRATACOS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-675-4596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "D12868-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Victoria Demchak
• Zachary John Demetriou
• Demir Inc (Lab. Clinico D'Mars)
• Lauren Frances Dender
• Yao Xin Deng Lin, MS
• Dental Designers PSC
• Departamento de Salud Oficial
• Department of Veteran Affairs
• Department of Veterans Affairs
• Derick E. Colon Lopez (Ponce Rehab)

• Dental Clinic/Center in Ponce, PR
• Providers in Ponce, 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 Mar 10, 2016; 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.