Ashford Oral & Maxillofacial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ASHFORD ORAL & MAXILLOFACIAL SURGERY LLC

Practice address

29 Calle Washington Ste 502-503
San Juan, PR 00907-1510

Phone

(787) 403-3587

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Juan G Fuentes Arroyo, DMDNPI 1366889214

Title

Sole MBR

Phone

(787) 403-3587

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan G Fuentes-Arroyo, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Fajardo, PR
  • NPI 1366889214
  NPD Authorized official

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1528618410",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PALMAS PLANTATION, PALMAS DEL MAR",
            "address_2": "51",
            "city": "HUMACAO",
            "state": "PUERTO RICO",
            "postal_code": "00791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON STE 502-503",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-403-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHFORD ORAL & MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "FUENTES ARROYO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "787-403-3587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashford Dental
• Ashford Dental PSC
• Ashford Endocrine & Metabolic Laboratory Inc
• Ashford Gastroenterology Services
• Ashford Medical Center Radiology Offices PSC
• Ashford Pediatric Group Partnership
• Ashford Periodontics and Implants PSC
• Ashford Radiology PSC
• Ashford Sports & Wellness Medicine Center
• Asociacion de Maestros de P R

• Oral and Maxillofacial Surgery (Dentist) in San Juan, PR
• Providers in San Juan, PR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.