Organization Active NPI

Clinica Dental Cosmetica Y General de Caguas CSP

  • General Practice Dentistry
  • Caguas, PR
National Provider Identifier
1306448055
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CLINICA DENTAL COSMETICA Y GENERAL DE CAGUAS CSP
Practice address
Villa del Rey 2
2D23 Ave Pino
Caguas, PR 00725-6254
Phone
(787) 746-7533
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Authorized official

Name
Dr. Angel Manuel Torres, DMDNPI 1043439300
Title
President
Phone
(787) 746-7533

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

Villa del Rey 2
2D23 Ave Pino
Caguas, PR 00725-6254

Mailing address

Villa del Rey 2
2D23 Ave Pino
Caguas, PR 00725-6254
Phone (787) 746-7533

Other identifiers 1

IdentifierTypeStateIssuer
1043439300MedicaidPR

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address angeltorres1879@outlook.com
Direct Messaging Address angeltorres1879@outlook.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604880000000",
    "number": "1306448055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VILLA DEL REY 2",
            "address_2": "2D23 AVE PINO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256254",
            "telephone_number": "787-746-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA DEL REY 2",
            "address_2": "2D23 AVE PINO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256254",
            "telephone_number": "787-746-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL COSMETICA Y GENERAL DE CAGUAS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-06",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-746-7533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043439300",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angeltorres1879@outlook.com",
            "affiliation": "N",
            "address_1": "VILLA DEL REY 2",
            "address_2": "2D23 AVE PINO",
            "city": "CAGUAS",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007256254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angeltorres1879@outlook.com",
            "affiliation": "N",
            "address_1": "VILLA DEL REY 2",
            "address_2": "2D23 AVE PINO",
            "city": "CAGUAS",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007256254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.