Advance Dental Clinic Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ADVANCE DENTAL CLINIC PROFESSIONAL CORPORATION

Practice address

52 Calle Dolores Cabrera Alonso E
Humacao, PR 00791-4269

Phone

(787) 850-1085

NPI assigned

May 7, 2008

Last updated

May 7, 2008By 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

Dr. Ernesto Javier Rosa, DMDNPI 1962695999

Title

President

Phone

(787) 850-1085

Specialties & licenses 1

Addresses

Locations

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.

• Ernesto Javier Rosa, DMD

  • General Practice Dentistry
  • Humacao, PR
  • NPI 1962695999
  NPD (past) Authorized official
• Elsa Cristina Justiniano, DMD

  • Dentist
  • Bayamon, PR
  • NPI 1003071754
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1356517437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 CALLE ECHEGARAY",
            "address_2": "LITHEDA HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 CALLE DOLORES CABRERA ALONSO E",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007914269",
            "telephone_number": "787-850-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE DENTAL CLINIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-850-1085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yamilka Abreu Delgado, MD
• Tania Zuleyka Abrew, MSW
• Francis Yamil Acosta, MD
• Adamari Gomez Villegas (East Chiropractic Wellness Center)
• Monique Adorno Monet, M.D.
• Advance Gynecology Services LLC
• Aesthetic Center of Puerto Rco CSP
• Wanda I Agosto Delgado, MD
• Angel David Agosto Rodriguez, MD
• Agumet Inc.

• Dental Clinic/Center in Humacao, PR
• Providers in Humacao, 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 May 7, 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.