Renova Dental Family Clinic

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RENOVA DENTAL FAMILY CLINIC

Practice address

Parcela 283 Carr. 693
Vega Alta, PR 00692

Phone

(787) 867-5900

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Krystal Sanchez GarciaNPI 1811563208

Title

President

Phone

(787) 867-5900

Specialties & licenses 1

Addresses

Practitioners 1

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

• Krystal Sanchez Garcia, DMD

  • General Practice Dentistry
  • Carolina, PR
  • NPI 1811563208
  NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1295541332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PARCELA 283 CARR. 693",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PARCELA 283 CARR. 693",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-867-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA DENTAL FAMILY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-11-30",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ GARCIA",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-867-5900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Quiles Diffut, PHARM D
• Ramirez de Arellano Ser de Eva
• Ramirez de Arellano, Servicios de Evaluacion, LLC
• Veronica Cristina Ramos Caban
• Christian E Ramos Garcia, PHARMD
• Rafael E Resto Vazquez
• Luis Jomar Reyes Gonzalez, MD
• Oscar Reyes, M.D.
• Rigar Medical Transport, Inc.
• Reinaldo Rios Rodriguez

• Dentist in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.