Pda Maxillofacial Surgery LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

PDA MAXILLOFACIAL SURGERY LLC

Practice address

107 Calle Ortegon Suite 100
Caparra Gallery Plaza, Ave. Gonzalez Giusti
Guaynabo, PR 00966

Phone

(787) 425-0526

NPI assigned

Feb 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Del Pilar

Title

DMD, President

Phone

(787) 425-0526

Specialties & licenses 1

Addresses

Other names 1

• PDA MAXILLOFACIAL SURGERY Doing business as

Locations

Practitioners 1

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

• Luis T Tavarez Gonzalez, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Guaynabo, PR
  • NPI 1780974063
  NPD

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613347200000",
    "number": "1548853179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366255",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366255",
            "telephone_number": "787-425-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CALLE ORTEGON SUITE 100",
            "address_2": "CAPARRA GALLERY PLAZA, AVE. GONZALEZ GIUSTI",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-425-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDA MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "DEL PILAR",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "DMD, PRESIDENT",
        "authorized_official_telephone_number": "787-425-0526",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDA MAXILLOFACIAL SURGERY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Par Medical Corporation
• Miguel Pares Hernandez, 0548P
• Agustin Parrilla Santiago, 091B
• Jose Guillermo Pastrana Sr., MD
• Patient Clinical Integrators LLC
• Valeria Maria Pecunia, PSYD
• Pediatric Medical Home Center, Inc
• Pediatric Neuroepi LLC
• Pediatrix Caribbean LLC
• Pedro Rodriguez Sola Dentistas CSP

• Oral & Maxillofacial Surgery (D.M.D.) in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.