Organization Active NPI

Centro de Periodoncia E Implantologia Pavia

  • Periodontics
  • San Juan, PR
National Provider Identifier
1538411285
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
2727 Issued in PR
Legal business name
CENTRO DE PERIODONCIA E IMPLANTOLOGIA PAVIA
Practice address
1449 Calle Americo Salas Ste 202
1449 Americo Salas
San Juan, PR 00909-2101
Phone
(787) 720-4646
Fax
(787) 721-4500
NPI assigned
Oct 4, 2012
Last updated
Oct 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Authorized official

Name
Dr. Katherine Emille Ramos, DMDNPI 1689822157
Title
President
Phone
(787) 721-4646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 2727 PR Primary

Addresses

Primary practice location

1449 Calle Americo Salas Ste 202
1449 Americo Salas
San Juan, PR 00909-2101

Mailing address

1449 Calle Americo Salas Ste 202
1449 Americo Salas
San Juan, PR 00909-2101
Phone (787) 720-4646

National Provider Directory

National Provider Directory

Locations

1449 Calle Americo Salas
Ste 202
Santurce, PR 00909
Phone (787) 720-4646

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349308800000",
    "number": "1538411285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 CALLE AMERICO SALAS STE 202",
            "address_2": "1449 AMERICO SALAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092101",
            "telephone_number": "787-720-4646",
            "fax_number": "787-721-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 CALLE AMERICO SALAS STE 202",
            "address_2": "1449 AMERICO SALAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092101",
            "telephone_number": "787-720-4646",
            "fax_number": "787-721-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE PERIODONCIA E IMPLANTOLOGIA PAVIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "EMILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-721-4646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PR",
            "license": "2727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; 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.