Organization Active NPI

Departamento de Servicios Medicos Recinto Universitario de Mayaguez

  • Dental Clinic/Center
  • Mayaguez, PR
National Provider Identifier
1477957983
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
RECINTO UNIVERSITARIO DE MAYAGUEZAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory
Tax ID family
Laboratorio DSM Rum6 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.