Organization Active NPI

Dental Gerona LLC

  • Dental Clinic/Center
  • Sabana Grande, PR
National Provider Identifier
1477299188
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTAL GERONA LLC
Practice address
30 Calle Francisco M Quinonez
Sabana Grande, PR 00637-1943
Phone
(787) 873-7770
NPI assigned
May 6, 2022
Last updated
May 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Dr. Manuel Rodriguez, DDSNPI 1205800687
Title
Dentist
Phone
(787) 873-7770

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

30 Calle Francisco M Quinonez
Sabana Grande, PR 00637-1943

Mailing address

PO Box 1110
Sabana Grande, PR 00637-1110
Phone (787) 873-7770

National Provider Directory

National Provider Directory

Locations

30 Calle Francisco M Quinonez
Sabana Grande, PR 00637
Phone (787) 873-7770

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": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1477299188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1110",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371110",
            "telephone_number": "787-873-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE FRANCISCO M QUINONEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006371943",
            "telephone_number": "787-873-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL GERONA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-873-7770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.