NPIMap

Organization Active NPI

Grupo Dental CDT Dr. Lopez Antongiorgi

  • Dental Clinic/Center
  • San Juan, PR
National Provider Identifier
1255601332
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
6 Issued in PR
Legal business name
GRUPO DENTAL CDT DR. LOPEZ ANTONGIORGI
Practice address
Calle 25 NE 333 Puerto Nuevo
San Juan, PR 00920
Phone
(787) 480-3841
Fax
(787) 977-0544
NPI assigned
Jan 6, 2012
Last updated
Jan 6, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
CDT DR. LOPEZ ANTONGIORGIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Maritza Vega de Jesus, MBH HCM
Title
Executive Sub Director
Phone
(787) 480-3841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 6 PR Primary

Addresses

Primary practice location

Calle 25 NE 333 Puerto Nuevo
San Juan, PR 00920

Mailing address

Calle 25 NE 333 Puerto Nuevo
San Juan, PR 00920
Phone (787) 480-3841

National Provider Directory

National Provider Directory
Tax ID family
CDT Dr Gualberto Rabell63 organizations share this tax ID, including this one
Part of
CDT Dr Gualberto Rabell

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1255601332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 25 NE 333 PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-480-3841",
            "fax_number": "787-977-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 25 NE 333 PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00920",
            "telephone_number": "787-480-3841",
            "fax_number": "787-977-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO DENTAL CDT DR. LOPEZ ANTONGIORGI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CDT DR. LOPEZ ANTONGIORGI",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "VEGA DE JESUS",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "EXECUTIVE SUB DIRECTOR",
        "authorized_official_telephone_number": "787-480-3841",
        "authorized_official_credential": "MBH HCM"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "6",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.