Amanecer Dental Clinic and Lab

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AMANECER DENTAL CLINIC AND LAB

Practice address

Avenida de Diego 467 Rio Piedras
San Juan, PR 00923

Phone

(787) 585-5569

NPI assigned

Apr 23, 2010

Last updated

Jul 21, 2022By 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

Edwin Eric Suarez

Title

Tecnico Dental

Phone

(787) 562-9277

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659698108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVENIDA DE DIEGO 467 RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-585-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA DE DIEGO 467 RIO PIEDRAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-585-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANECER DENTAL CLINIC AND LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUAREZ",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "TECNICO DENTAL",
        "authorized_official_telephone_number": "787-562-9277"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Anyelie Amador Hernandez
• Adriana Sofia Amador, MD
• Francisco Jose Amador, MD
• Juan F. Amador, MD
• Rafael Amador, O.D.
• Natalie Amaral Nieves
• Valerie Amaral Nieves
• Carmen E Amaral, MD
• Myriam Amaro de Jesus, MD
• Mirna Socorro Amaro Medina, MD

• General Practice Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.