LRC Esthetic Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LRC ESTHETIC DENTAL CARE

Practice address

576 Calle Cesar Gonzalez Ste 301
San Juan, PR 00918-3757

Phone

(787) 773-0123

NPI assigned

Aug 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Lilliam Edith Rivera Camacho, DMD

Title

President

Phone

(787) 773-0123

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.

• Lilliam Edith Rivera, DMD

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1437653458
  NPD

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1538715404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6063",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266063",
            "telephone_number": "787-773-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 CALLE CESAR GONZALEZ STE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183757",
            "telephone_number": "787-773-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LRC ESTHETIC DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "RIVERA CAMACHO",
        "authorized_official_first_name": "LILLIAM",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-773-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yayleene Lozado Caceres
• Grace Marie Lozano, CPHT
• Hector L Lozano, MD
• Loriel Lozano
• LP Medical
• LS Physiatry and Sports Medicine Services
• Fernando Lucca Pelaez, MD
• Aileen Dolores Lucca, M.D.
• Betsy M Lucena, NURSE PRACTITIONER
• Lucet at Home of Puerto Rico PSC

• Dental Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.