Active NPI
Western Dental Clinic
- Dental Clinic/Center
- Mayaguez, PR
National Provider Identifier
1669923199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 2650
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Mayaguez, PR
- NPI 1528198694
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.