Patricio J. Sumaza, DMD, CSP

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2496 Issued in PR

Legal business name

PATRICIO J. SUMAZA, DMD, CSP

Practice address

351 Ave Hostos
Suite 211, Medical Emporium
Mayaguez, PR 00680-1502

Phone

(787) 986-3636

Fax

(787) 805-1610

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Patricio Javier Sumaza, DMD

Title

Presidente

Phone

(787) 986-3636

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.

• Dannelly B. Gonzalez, D.M.D.

  • Endodontics
  • Caguas, PR
  • NPI 1508190943
  NPD

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1295732147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "SUITE 211, MEDICAL EMPORIUM",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801502",
            "telephone_number": "787-986-3636",
            "fax_number": "787-805-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AVE HOSTOS",
            "address_2": "SUITE 211, MEDICAL EMPORIUM",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006801502",
            "telephone_number": "787-986-3636",
            "fax_number": "787-805-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIO J. SUMAZA, DMD, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "SUMAZA",
        "authorized_official_first_name": "PATRICIO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-986-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "2496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred Nereida Pancorbo, LCDA
• Paradise West Medical
• Paradise West Medical, Inc.
• Partners in Hope Inc
• Pathology Lab Inc
• Pearle Vision Center of Puerto Rico, Inc
• Pediatric & General Surgery LLC
• Pediatric Orthopedics of Puerto Rico
• Pedro a Muniz
• Nilsa M. Perdomo Rivera

• Endodontics in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Endodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.