Jyf Dental Clinic Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JYF DENTAL CLINIC INC

Doing business as

JYF Dental Clinic

Practice address

Barbosa Ave 119
Esq Progreso
Catano, PR 00725

Phone

(787) 275-4019

NPI assigned

Jul 26, 2024

Last updated

Jul 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Familia Glass, MR

Title

Administrator

Phone

(787) 275-4019

Specialties & licenses 1

Addresses

Other names 1

• JYF Dental Clinic Doing business as

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.

• Ramon Matanzo Vicens, DMD

  • General Practice Dentistry
  • Naguabo, PR
  • NPI 1962411819
  NPD (past)

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1326876608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00963",
            "telephone_number": "787-529-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARBOSA AVE 119",
            "address_2": "ESQ PROGRESO",
            "city": "CATANO",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-275-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JYF DENTAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "FAMILIA GLASS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-275-4019",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JYF Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eduardo Antonio Irizarry Rivera, MD
• JC Dental LLC
• Carmelo Jimenez, MA
• Joanne Rios Corujo (Centro de Terapia Fisica de Catano)
• Julio Santos (Farmacia Sandin)
• Kci Medical Puerto Rico, Inc. (Solventum Advanced Wound Care Puerto Rico)
• Laboratorio Clinico Luzmar LLC Laboratorio Clinico Aymat
• Life Medical Group
• Marisol Luna, TAC-III, TFC-III
• Yolanda Melendez Alers, DIETITIAN

• Dental Clinic/Center in Catano, PR
• Providers in Catano, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.