Ecg Dentistry P.S.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ECG DENTISTRY P.S.C.

Practice address

State Rd 3 KM 8.40 Barrio Martin Gonzales
#107 Paseo del Prado Shopping Center
Carolina, PR 00985

Phone

(787) 276-5450

Fax

(787) 276-5452

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Ellen Colon Gotay, DDS

Title

Owner

Phone

(787) 276-5450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1285935239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STATE RD 3 KM 8.40 BARRIO MARTIN GONZALES",
            "address_2": "#107 PASEO DEL PRADO SHOPPING CENTER",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-276-5450",
            "fax_number": "787-276-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STATE RD 3 KM 8.40 BARRIO MARTIN GONZALES",
            "address_2": "#107 PASEO DEL PRADO SHOPPING CENTER",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-276-5450",
            "fax_number": "787-276-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECG DENTISTRY P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "GOTAY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "COLON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-276-5450",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.