NPIMap

Organization Active NPI

Centro Denal Pediatrico Smiles 'R' US CSP

  • Pediatric Dentistry
  • Rio Grande, PR
National Provider Identifier
1366746901
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1443 Issued in PR
Legal business name
CENTRO DENAL PEDIATRICO SMILES 'R' US CSP
Practice address
Calle Pimentel #45
2ND Floor
Rio Grande, PR 00745
Phone
(787) 887-7693
Fax
(787) 887-8626
NPI assigned
Dec 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Mrs. Elizabeth RosarioNPI 1720062052
Title
President
Phone
(787) 887-7693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 1443 PR Primary

Addresses

Primary practice location

Calle Pimentel #45
2ND Floor
Rio Grande, PR 00745

Mailing address

PO Box 2296
Rio Grande, PR 00745
Phone (787) 887-7693

National Provider Directory

National Provider Directory

Locations

Calle Pimentel 45
2ND FL
Rio Grande, PR 00745
Phone (787) 887-7693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1366746901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2296",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-7693",
            "fax_number": "787-887-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PIMENTEL #45",
            "address_2": "2ND FLOOR",
            "city": "RIO GRANDE",
            "state": "PR",
            "postal_code": "00745",
            "telephone_number": "787-887-7693",
            "fax_number": "787-887-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DENAL PEDIATRICO SMILES 'R' US CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "ROSARIO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-887-7693",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "1443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.