NPIMap

Organization Active NPI

SM Dental PSC

  • Periodontics
  • Carolina, PR
National Provider Identifier
1407025612
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
1333 Issued in PR
Legal business name
SM DENTAL PSC
Practice address
Calle Ignacio Arzuaga 5W
Carolina Pueblo
Carolina, PR 00985
Phone
(787) 769-6880
Fax
(787) 776-0757
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Miriam E Melendez
Title
Owner
Phone
(787) 769-6880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 1333 PR Primary

Addresses

Primary practice location

Calle Ignacio Arzuaga 5W
Carolina Pueblo
Carolina, PR 00985

Mailing address

PO Box 871
Pueblo Station
Carolina, PR 00986
Phone (787) 769-6880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1407025612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "address_2": "PUEBLO STATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00986",
            "telephone_number": "787-769-6880",
            "fax_number": "787-776-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE IGNACIO ARZUAGA 5W",
            "address_2": "CAROLINA PUEBLO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-769-6880",
            "fax_number": "787-776-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM DENTAL PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-769-6880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "1333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.