Basic Dental Clinic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BASIC DENTAL CLINIC

Practice address

Ave Munoz Rivera 402
Hato Rey, PR 00918

Phone

(787) 751-6784

NPI assigned

Jul 26, 2007

Last updated

Jul 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria Melo, D.D.SNPI 1659495331

Title

Dentist

Phone

(787) 637-0084

Specialties & licenses 1

Addresses

Tax ID family

Basic Dental Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Basic Laboratory

  • Clinical Medical Laboratory
  • Hato Rey, PR
  • NPI 1255547675
  NPD tax ID

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.

• Maria A Melo, D.D.S

  • General Practice Dentistry
  • Hato Rey, PR
  • NPI 1659495331
  Authorized official Same address or phone

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1518157593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE MUNOZ RIVERA 402",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-751-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE MUNOZ RIVERA 402",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-751-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "MELO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-637-0084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avance: Clinica de Servicios Relacionados a la Salud, CSP
• Nereida Aviles, MSW
• Perla Georgina Baez Romero
• Viviane Baiz
• Francisco Barreto
• Basic Laboratory
• Basic Pharmacy
• Leonardo Fabio Bastardo, MD
• Lourdes Natalia Beauregard, O.D.
• Carlos R Benitez Colon

• General Practice Dentistry in Hato Rey, PR
• Providers in Hato Rey, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.