Organization Active NPI

Cirugia Oral Y Maxilofacial El Senorial

  • Oral and Maxillofacial Surgery Clinic/Center
  • San Juan, PR
National Provider Identifier
1417318536
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
2846 Issued in PR
Legal business name
CIRUGIA ORAL Y MAXILOFACIAL EL SENORIAL
Practice address
200 Ave Winston Churchill Ste 201
San Juan, PR 00926-6655
Phone
(787) 455-8111
Fax
(787) 705-5199
NPI assigned
Mar 17, 2016
Last updated
Jun 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Dr. Raul Colon Nieves, D.M.D., M.D.NPI 1477881084
Title
Owner
Phone
(787) 455-8111

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 2846 PR Primary

Addresses

Primary practice location

200 Ave Winston Churchill Ste 201
San Juan, PR 00926-6655

Mailing address

200 Ave Winston Churchill Ste 201
San Juan, PR 00926-6655
Phone (787) 455-8111

National Provider Directory

National Provider Directory

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": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1417318536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AVE WINSTON CHURCHILL STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266655",
            "telephone_number": "787-455-8111",
            "fax_number": "787-705-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE WINSTON CHURCHILL STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266655",
            "telephone_number": "787-455-8111",
            "fax_number": "787-705-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRUGIA ORAL Y MAXILOFACIAL EL SENORIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "COLON NIEVES",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-455-8111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2846",
            "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 Jun 23, 2016; 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.