Organization Active NPI

Dr Eduardo E Rodes Oliver CSP

  • Periodontics
  • Mayaguez, PR
National Provider Identifier
1316373566
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
DR EDUARDO E RODES OLIVER CSP
Practice address
60 Calle Dr Ramon E Betances N
Suite 201
Mayaguez, PR 00680-6659
Phone
(787) 265-1972
NPI assigned
Sep 19, 2013
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Eduardo E Rodes Oliver, DMD
Title
President
Phone
(787) 265-1972

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

60 Calle Dr Ramon E Betances N
Suite 201
Mayaguez, PR 00680-6659

Mailing address

60 Calle Dr Ramon E Betances N
Suite 201
Mayaguez, PR 00680-6659
Phone (787) 265-1972

National Provider Directory

National Provider Directory

Locations

60 Calle Dr Ramon E Betances N
Ste 201
Mayaguez, PR 00680
Phone (787) 265-1972

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1316373566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CALLE DR RAMON E BETANCES N",
            "address_2": "SUITE 201",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806659",
            "telephone_number": "787-265-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 CALLE DR RAMON E BETANCES N",
            "address_2": "SUITE 201",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006806659",
            "telephone_number": "787-265-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR EDUARDO E RODES OLIVER CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "RODES OLIVER",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-265-1972",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.