NPIMap

Organization Active NPI

Clinica de Cirugia Oral Y Maxilofacial de Caparra Corp

  • Oral and Maxillofacial Surgery Clinic/Center
  • San Juan, PR
National Provider Identifier
1306044748
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
2660 Issued in PR
Legal business name
CLINICA DE CIRUGIA ORAL Y MAXILOFACIAL DE CAPARRA CORP
Practice address
33 Calle Resolucion
Suite 800
San Juan, PR 00920-2706
Phone
(787) 622-0552
Fax
(787) 622-0555
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Ricardo Javier Jimenez-Bosch, DMDNPI 1891998621
Title
President
Phone
(787) 210-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 2660 PR Primary

Addresses

Primary practice location

33 Calle Resolucion
Suite 800
San Juan, PR 00920-2706

Mailing address

33 Calle Resolucion
Suite 800
San Juan, PR 00920-2706
Phone (787) 622-0552

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1306044748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CALLE RESOLUCION",
            "address_2": "SUITE 800",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202706",
            "telephone_number": "787-622-0552",
            "fax_number": "787-622-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CALLE RESOLUCION",
            "address_2": "SUITE 800",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202706",
            "telephone_number": "787-622-0552",
            "fax_number": "787-622-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE CIRUGIA ORAL Y MAXILOFACIAL DE CAPARRA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ-BOSCH",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-210-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.