Organization Active NPI

Centro Familiar de Servicios Dentales, CSP

  • Dentist
  • San Sebastian, PR
National Provider Identifier
1669700506
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CENTRO FAMILIAR DE SERVICIOS DENTALES, CSP
Practice address
4100 Ave Arcadio Estrada
Suite 110 San Sebastian Office Building
San Sebastian, PR 00685-3216
Phone
(787) 896-1265
Fax
(787) 280-0171
NPI assigned
Dec 4, 2009
Last updated
Dec 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Authorized official

Name
Dr. Marciano E. Aviles Roig, D.M.D.
Title
Dentista
Phone
(787) 896-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4100 Ave Arcadio Estrada
Suite 110 San Sebastian Office Building
San Sebastian, PR 00685-3216

Mailing address

PO Box 201
San Sebastian, PR 00685-0201
Phone (787) 896-1265

National Provider Directory

National Provider Directory

Locations

4100 Ave Arcadio Estrada
Ste 110
San Sebastian, PR 00685
Phone (787) 896-1265

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": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1669700506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006850201",
            "telephone_number": "787-896-1265",
            "fax_number": "787-280-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 AVE ARCADIO ESTRADA",
            "address_2": "SUITE 110 SAN SEBASTIAN OFFICE BUILDING",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853216",
            "telephone_number": "787-896-1265",
            "fax_number": "787-280-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO FAMILIAR DE SERVICIOS DENTALES, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "AVILES ROIG",
        "authorized_official_first_name": "MARCIANO",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DENTISTA",
        "authorized_official_telephone_number": "787-896-1265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.