Active NPI
Departamento de Servicios Medicos Recinto Universitario de Mayaguez
- Dental Clinic/Center
- Mayaguez, PR
National Provider Identifier
1477957983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DEPARTAMENTO DE SERVICIOS MEDICOS RECINTO UNIVERSITARIO DE MAYAGUEZ
- Practice address
- 259 Ave. Alfonso Valdez
Departamento Servicios Medicos
Mayaguez, PR 00681 - Phone
- (787) 832-4040
- NPI assigned
- Oct 13, 2014
- Last updated
- Oct 13, 2014
- Organization subpart
- Yes
- Parent organization
- RECINTO UNIVERSITARIO DE MAYAGUEZ
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Fernandez
- Title
- Chancellor
- Phone
- (787) 832-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | PR | Primary |
Addresses
Primary practice location
259 Ave. Alfonso Valdez
Departamento Servicios Medicos
Mayaguez, PR 00681
Mailing address
PO Box 9000
Mayaguez, PR 00681-9000
Phone (787) 832-4040
Other names 1
- Servicios Dentales
National Provider Directory
National Provider Directory- Tax ID family
- Laboratorio DSM Rum
- Part of
- Laboratorio DSM Rum
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Mayaguez, PR
- NPI 1700115532
-
- Clinical Medical Laboratory
- Mayaguez, PR
- NPI 1134458623
-
- Student Health Clinic/Center
- Mayaguez, PR
- NPI 1134244577
-
- Clinical Medical Laboratory
- Mayaguez, PR
- NPI 1356793525
-
- Prescribing (Medical) Psychologist
- Mayaguez, PR
- NPI 1205068988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413158400000",
"number": "1477957983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9000",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006819000",
"telephone_number": "787-832-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 AVE. ALFONSO VALDEZ",
"address_2": "DEPARTAMENTO SERVICIOS MEDICOS",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00681",
"telephone_number": "787-832-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPARTAMENTO DE SERVICIOS MEDICOS RECINTO UNIVERSITARIO DE MAYAGUEZ",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RECINTO UNIVERSITARIO DE MAYAGUEZ",
"enumeration_date": "2014-10-13",
"last_updated": "2014-10-13",
"status": "A",
"authorized_official_last_name": "FERNANDEZ",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHANCELLOR",
"authorized_official_telephone_number": "787-832-4040",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Servicios Dentales",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.