Organization Active NPI

Clinica Dental Bravo

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1588822357
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CLINICA DENTAL BRAVO
Practice address
1057 Calle William Jones
San Juan, PR 00925-3832
Phone
(787) 764-8696
Fax
(787) 756-8427
NPI assigned
May 29, 2008
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Dr. Cesar Bravo, DMD
Title
Director
Phone
(787) 764-8696

Specialties & licenses 1

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

Addresses

Primary practice location

1057 Calle William Jones
San Juan, PR 00925-3832

Mailing address

PO Box 20651
San Juan, PR 00928-0651
Phone (787) 764-8696

National Provider Directory

National Provider Directory

Locations

1057 Calle William Jones
San Juan, PR 00925
Phone (787) 756-8427

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": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1588822357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20651",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009280651",
            "telephone_number": "787-764-8696",
            "fax_number": "787-756-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 CALLE WILLIAM JONES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253832",
            "telephone_number": "787-764-8696",
            "fax_number": "787-756-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL BRAVO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "BRAVO",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-764-8696",
        "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": null,
            "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 May 29, 2008; 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.