Oficina Dental Dr Pacheco LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

OFICINA DENTAL DR PACHECO LLC

Practice address

Urb Santa Rosa Ave Aguas Buenas
20 BLQ 38
Bayamaon, PR 00959-0095

Phone

(787) 409-7480

NPI assigned

Oct 7, 2022

Last updated

Jan 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Luis A Pacheco Perez, DMDNPI 1477646958

Title

Presidente

Phone

(787) 409-7480

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, and the practitioner matching its NPPES authorized official.

• Luis Armando Pacheco Perez, D.M.D

  • General Practice Dentistry
  • Bayamon, PR
  • NPI 1477646958
  NPD Authorized official

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1639894058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND ARCOS DE SUCHVILLE",
            "address_2": "80 CALLE 3 APT 310",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-409-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA ROSA AVE AGUAS BUENAS",
            "address_2": "20 BLQ 38",
            "city": "BAYAMAON",
            "state": "PR",
            "postal_code": "009590095",
            "telephone_number": "787-409-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFICINA DENTAL DR PACHECO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "PACHECO PEREZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-409-7480",
        "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": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.