Active NPI
Sem Dental, LLC
- General Practice Dentistry
- San Juan, PR
National Provider Identifier
1467805994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3032
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryNPI 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.