Organization Active NPI

LC Illusion Dental Clinic and Laboratory Corp

  • Dentist
  • Caguas, PR, PR
National Provider Identifier
1295653194
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LC ILLUSION DENTAL CLINIC AND LABORATORY CORP
Practice address
Carr. 798 KM 30.0
Barrio Rio Canas
Caguas, PR, PR 00725-9518
Phone
(787) 396-8371
NPI assigned
Jul 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Mrs. Lorraine Canet, CANET
Title
Pr4Esident
Phone
(787) 747-6574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

Carr. 798 KM 30.0
Barrio Rio Canas
Caguas, PR, PR 00725-9518

Mailing address

HC 6 Box 76055
Caguas, PR 00725-9504
Phone (787) 747-6574

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1295653194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 6 BOX 76055",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007259504",
            "telephone_number": "787-747-6574",
            "fax_number": "787-747-6574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 798 KM 30.0",
            "address_2": "BARRIO RIO CANAS",
            "city": "CAGUAS, PR",
            "state": "PR",
            "postal_code": "007259518",
            "telephone_number": "787-396-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LC ILLUSION DENTAL CLINIC AND LABORATORY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "CANET",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "PR4ESIDENT",
        "authorized_official_telephone_number": "787-747-6574",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CANET"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.