Organization Active NPI

VP Perio LLC

  • Periodontics
  • Dorado, PR
National Provider Identifier
1245899293
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
VP PERIO LLC
Practice address
Carr 693 Int 659 KM 1.5 Bo Maguayo
Suite B240
Dorado, PR 00646
Phone
(787) 934-5970
NPI assigned
Jun 12, 2019
Last updated
Jun 12, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Authorized official

Name
Dr. Virmaris L Perdomo, DMD
Title
Periodontist
Phone
(787) 934-5970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

Carr 693 Int 659 KM 1.5 Bo Maguayo
Suite B240
Dorado, PR 00646

Mailing address

1309 Ave Magdalena Apt C12
San Juan, PR 00907-1953
Phone (787) 934-5970

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560297600000",
    "number": "1245899293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 AVE MAGDALENA APT C12",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071953",
            "telephone_number": "787-934-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 693 INT 659 KM 1.5 BO MAGUAYO",
            "address_2": "SUITE B240",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-934-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VP PERIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A",
        "authorized_official_last_name": "PERDOMO",
        "authorized_official_first_name": "VIRMARIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "787-934-5970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; 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.