NPIMap

Organization Active NPI

Med Vec Dental CSP

  • General Practice Dentistry
  • Carolina, PR
National Provider Identifier
1588795314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1302 Issued in PR
Legal business name
MED VEC DENTAL CSP
Practice address
Laguna Gardens Shopping Center
Suite 200
Carolina, PR 00979
Phone
(787) 791-0906
Fax
(787) 791-6117
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Norberto Medina, DMD
Title
Jefe
Phone
(787) 791-0906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1302 PR Primary

Addresses

Primary practice location

Laguna Gardens Shopping Center
Suite 200
Carolina, PR 00979

Mailing address

Laguna Gardens Shopping Center Suite 200
Carolina, PR 00979
Phone (787) 791-0609

National Provider Directory

National Provider Directory

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588795314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LAGUNA GARDENS SHOPPING CENTER SUITE 200",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-791-0609",
            "fax_number": "787-791-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAGUNA GARDENS SHOPPING CENTER",
            "address_2": "SUITE 200",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00979",
            "telephone_number": "787-791-0906",
            "fax_number": "787-791-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED VEC DENTAL CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "NORBERTO",
        "authorized_official_title_or_position": "JEFE",
        "authorized_official_telephone_number": "787-791-0906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • 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.