Organization Active NPI

Periodontic Solutions LLC

  • Periodontics
  • San Juan, PR
National Provider Identifier
1437036217
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
PERIODONTIC SOLUTIONS LLC
Practice address
400 Ave FD Roosevelt Ste 508
San Juan, PR 00918-2163
Phone
(787) 777-1163
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Fabiola Victoria Ramirez Martinez, DMDNPI 1174905665
Title
Sole Member
Phone
(787) 402-6759

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
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

400 Ave FD Roosevelt Ste 508
San Juan, PR 00918-2163

Mailing address

400 Ave FD Roosevelt Ste 508
San Juan, PR 00918-2163

National Provider Directory

National Provider Directory

Locations

400 Ave Fd Roosevelt
Ste 508
San Juan, PR 00918
Phone (787) 764-3737

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": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1437036217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 508",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AVE FD ROOSEVELT STE 508",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182163",
            "telephone_number": "787-777-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIODONTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ MARTINEZ",
        "authorized_official_first_name": "FABIOLA",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "787-402-6759",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "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 Aug 21, 2025; 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.