Organization Active NPI

Western Dental Clinic

  • Dental Clinic/Center
  • Mayaguez, PR
National Provider Identifier
1669923199
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2650 Issued in PR
Legal business name
WESTERN DENTAL CLINIC
Practice address
27 Calle Dr Nelson Peres
Edificio Doctors Center Suite 201
Mayaguez, PR 00680
Phone
(787) 832-7455
Fax
(787) 832-7455
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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

Authorized official

Name
Marvin Alameda Ramirez
Title
Doctor
Phone
(787) 832-7455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2650 PR Primary

Addresses

Primary practice location

27 Calle Dr Nelson Peres
Edificio Doctors Center Suite 201
Mayaguez, PR 00680

Mailing address

27 Calle Dr Nelson Perea
Edificio Doctor Center Suite 201
Mayaguez, PR 00680-4949
Phone (787) 832-7455

National Provider Directory

National Provider Directory

Locations

27 Calle Dr Nelson Perea
Ste 201
Mayaguez, PR 00680
Phone (787) 466-4883

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1669923199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CALLE DR NELSON PEREA",
            "address_2": "EDIFICIO DOCTOR CENTER SUITE 201",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804949",
            "telephone_number": "787-832-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE DR NELSON PERES",
            "address_2": "EDIFICIO DOCTORS CENTER SUITE 201",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-832-7455",
            "fax_number": "787-832-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "ALAMEDA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-832-7455"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.