Organization Active NPI

Dentalia Medika Corp

  • Dental Clinic/Center
  • Carolina, PR
National Provider Identifier
1487861704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTALIA MEDIKA CORP
Practice address
Carr 857 0.4
Bo Canovanillas
Carolina, PR 00987
Phone
(787) 776-3840
Fax
(787) 276-2923
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rafael Ortiz Pietri, MD
Title
Dueno
Phone
(787) 776-3840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

Carr 857 0.4
Bo Canovanillas
Carolina, PR 00987

Mailing address

PO Box 800
Carolina, PR 00986-0800
Phone (787) 776-3840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487861704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860800",
            "telephone_number": "787-776-3840",
            "fax_number": "787-276-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 857 0.4",
            "address_2": "BO CANOVANILLAS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00987",
            "telephone_number": "787-776-3840",
            "fax_number": "787-276-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALIA MEDIKA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PIETRI",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ORTIZ",
        "authorized_official_title_or_position": "DUENO",
        "authorized_official_telephone_number": "787-776-3840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.