Organization Active NPI

Sem Dental, LLC

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1467805994
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3032 Issued in PR
Legal business name
SEM DENTAL, LLC
Practice address
904 Calle Marti
Suite a-1
San Juan, PR 00907-3302
Phone
(787) 725-5214
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Dr. Suzette Espada Maldonado, D.M.D.
Title
Dentist
Phone
(787) 691-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 3032 PR Primary

Addresses

Primary practice location

904 Calle Marti
Suite a-1
San Juan, PR 00907-3302

Mailing address

904 Calle Marti
Suite a-1
San Juan, PR 00907-3302
Phone (787) 725-5214

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1467805994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 CALLE MARTI",
            "address_2": "SUITE A-1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073302",
            "telephone_number": "787-725-5214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CALLE MARTI",
            "address_2": "SUITE A-1",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073302",
            "telephone_number": "787-725-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEM DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "ESPADA MALDONADO",
        "authorized_official_first_name": "SUZETTE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-691-7060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3032",
            "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 Jul 20, 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.