Active NPI
Merile WCC Dental Services
- Dental Clinic/Center
- Bayamon, PR
National Provider Identifier
1295276004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 2280
- Legal business name
- MERILE WCC DENTAL SERVICES
- Practice address
- DC8 Ave Minillas
Sta Juanita
Bayamon, PR 00956 - Phone
- (787) 780-8176
- NPI assigned
- Mar 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Cruzado
- Title
- President
- Phone
- (787) 780-8176
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 2280 | PR | Primary |
Addresses
Primary practice location
DC8 Ave Minillas
Sta Juanita
Bayamon, PR 00956
Mailing address
PO Box 6984
Bayamon, PR 00960-5984
Phone (787) 780-8176
National Provider Directory
National Provider DirectoryLocations
DC8 Ave Minillas
Bayamon, PR 00956
Phone (787) 643-0930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489363200000",
"number": "1295276004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6984",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009605984",
"telephone_number": "787-780-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DC8 AVE MINILLAS",
"address_2": "STA JUANITA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00956",
"telephone_number": "787-780-8176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERILE WCC DENTAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-13",
"last_updated": "2017-03-13",
"status": "A",
"authorized_official_last_name": "CRUZADO",
"authorized_official_first_name": "WANDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-780-8176"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "PR",
"license": "2280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.