Active NPI
Fernando Jimenez Seda Dentista LLC.
- General Practice Dentistry
- Bayamon, PR
National Provider Identifier
1679344766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FERNANDO JIMENEZ SEDA DENTISTA LLC.
- Practice address
- Santa Rosa Mall
2DO Nivel Suite 3B
Bayamon, PR 00959 - Phone
- (787) 740-0110
- NPI assigned
- Jan 9, 2024
- 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
- Fernando Jimenez Seda
- Title
- President
- Phone
- (787) 403-7979
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
Santa Rosa Mall
2DO Nivel Suite 3B
Bayamon, PR 00959
Mailing address
A-9 Acropolis
Monte Olimpo
Guaynabo, PR 00969
Phone (787) 403-7979
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704758400000",
"number": "1679344766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A-9 ACROPOLIS",
"address_2": "MONTE OLIMPO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-403-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SANTA ROSA MALL",
"address_2": "2DO NIVEL SUITE 3B",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-740-0110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERNANDO JIMENEZ SEDA DENTISTA LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-09",
"last_updated": "2024-01-09",
"status": "A",
"authorized_official_last_name": "JIMENEZ SEDA",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-403-7979"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.