Sandoval Dental Services, P.S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2002 Issued in PR

Legal business name

SANDOVAL DENTAL SERVICES, P.S.C.

Practice address

Aq-34 Ave. Laurel
Urb. Santa Juanita
Bayamon, PR 00956

Phone

(787) 798-6227

Fax

(787) 785-9054

NPI assigned

Sep 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Sandoval, D.M.D.NPI 1881690535

Title

President

Phone

(787) 798-6227

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivan Sandoval, D.M.D.

  • General Practice Dentistry
  • Bayamon, PR
  • NPI 1881690535
  NPD (past) Authorized official

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1295042240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3189",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009603189",
            "telephone_number": "787-798-6227",
            "fax_number": "787-785-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AQ-34 AVE. LAUREL",
            "address_2": "URB. SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-798-6227",
            "fax_number": "787-785-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDOVAL DENTAL SERVICES, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-6227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Rafael Sanchez, MD
• Maria Elena Sanchez
• Marielle Denisse Sanchez, M.D.
• Sonia Enid Sanchez
• Karen Sandoval Cardenales, LPC
• Ivan Sandoval, D.M.D.
• Sandra Aguayo
• Adriana Beatriz Sanjenis Marrero
• Carmen M Sanmiguel, MD
• Santa Ana Laboratory Services Incorporated

• General Practice Dentistry in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.