NPIMap

Organization Active NPI

Oficina Dental Dr Jacqueline Rodriguez PSC

  • Dentist
  • Aguas Buenas, PR
National Provider Identifier
1356508873
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2411 Issued in PR
Legal business name
OFICINA DENTAL DR JACQUELINE RODRIGUEZ PSC
Practice address
Street 156 HM 49 4 Bo Sumicten
Aguas Buenas, PR 00703
Phone
(787) 732-0509
Fax
(787) 732-0509
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Jacqueline Rodriguez, DMDNPI 1750477691
Title
Presidente
Phone
(787) 732-0509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2411 PR Primary

Addresses

Primary practice location

Street 156 HM 49 4 Bo Sumicten
Aguas Buenas, PR 00703

Mailing address

#35 Munoz Rivera
Aguas Buenas, PR 00703
Phone (787) 732-0509

National Provider Directory

National Provider Directory

Locations

35 Calle Munoz Rivera
Aguas Buenas, PR 00703

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1356508873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#35 MUNOZ RIVERA",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "00703",
            "telephone_number": "787-732-0509",
            "fax_number": "787-732-0509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 156 HM 49 4 BO SUMICTEN",
            "city": "AGUAS BUENAS",
            "state": "PR",
            "postal_code": "00703",
            "telephone_number": "787-732-0509",
            "fax_number": "787-732-0509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFICINA DENTAL DR JACQUELINE RODRIGUEZ PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-732-0509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "2411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguas Buenas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.