Clinica Dental California CSP

Primary specialty

DentistTaxonomy code 122300000X

License

1745 Issued in PR

Legal business name

CLINICA DENTAL CALIFORNIA CSP

Practice address

A6 Calle California
Quebradillas, PR 00678-1833

Phone

(787) 895-2343

Fax

(787) 895-2343

NPI assigned

Sep 7, 2005

Last updated

Aug 22, 2020By 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. Clelia Rolon, DMDNPI 1558417444

Title

President

Phone

(787) 895-2343

Specialties & licenses 1

Addresses

Locations

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.

• Clelia Rolon, D.M.D.

  • General Practice Dentistry
  • Quebradillas, PR
  • NPI 1558417444
  NPD (past) Authorized official

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528052339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 558",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006780558",
            "telephone_number": "787-895-2343",
            "fax_number": "787-895-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A6 CALLE CALIFORNIA",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781833",
            "telephone_number": "787-895-2343",
            "fax_number": "787-895-2343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL CALIFORNIA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROLON",
        "authorized_official_first_name": "CLELIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-895-2343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Terapeutico Barreto LLC
• Juanetziel Charneco Gonzalez, PHARMD
• Wilnelia Perez Chaves
• Clinica de Salud Primaria Dr. Serrano Corporation
• Clinica de Terapia Fisica Y Rehabilitacion Genesis LLC
• Clinica Emociones LLC
• Clinical Laboratory Services of Quebradillas, Inc (Laboratorio Clinico Monroig)
• Conexion Innata
• Conexion Innata
• Consultorio Medico Dr Migdonio Camacho Camacho PSC

• Dentist in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• Dentist in Puerto Rico

• 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.