Active NPI
Christian Saul Vega Reyes
- General Practice Dentistry
- Jayuya, PR
National Provider Identifier
1457748386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3241
- Practice address
- 17 Calle Padilla Int
Jayuya, PR 00664-1454 - Phone
- (787) 425-9779
- NPI assigned
- Apr 17, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3241 | PR | Primary |
Addresses
Primary practice location
17 Calle Padilla Int
Jayuya, PR 00664-1454
Mailing address
658 Ave Miramar
Cond Hilltop Apt 503
San Juan, PR 00907
Phone (787) 425-9779
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3241 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smile Dental Care LLC | General Practice | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Bayamon, PR
- NPI 1568277697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1457748386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 AVE MIRAMAR",
"address_2": "COND HILLTOP APT 503",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-425-9779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 CALLE PADILLA INT",
"city": "JAYUYA",
"state": "PR",
"postal_code": "006641454",
"telephone_number": "787-425-9779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEGA REYES",
"first_name": "CHRISTIAN",
"middle_name": "SAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-04-17",
"last_updated": "2025-02-06",
"certification_date": "2025-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "3241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jayuya, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.