Organization Active NPI

Magic-Dental Inc.

  • Dental Clinic/Center
  • San Juan, PR
National Provider Identifier
1336572866
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MAGIC-DENTAL INC.
Practice address
823 Ave San Patricio
Las Lomas
San Juan, PR 00921-1311
Phone
(787) 781-8058
Fax
(787) 781-8058
NPI assigned
Aug 20, 2013
Last updated
Sep 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Carmen Karina Pena
Title
President
Phone
(787) 579-4919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X PR Primary

Addresses

Primary practice location

823 Ave San Patricio
Las Lomas
San Juan, PR 00921-1311

Mailing address

35 Juan Carlos de Borbon
Suite 67 PMB 328
Guaynabo, PR 00969-5375
Phone (787) 579-4919

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, 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": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1336572866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 JUAN CARLOS DE BORBON",
            "address_2": "SUITE 67 PMB 328",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695375",
            "telephone_number": "787-579-4919",
            "fax_number": "787-782-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 AVE SAN PATRICIO",
            "address_2": "LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009211311",
            "telephone_number": "787-781-8058",
            "fax_number": "787-781-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGIC-DENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "KARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-579-4919"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": null,
            "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 Sep 5, 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.