Ibg PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

PR1927 Issued in PR

Legal business name

IBG PSC

Practice address

Suite 202a,
107 Ave. Gonzalez Guisti
Guaynabo, PR 00966

Phone

(787) 707-1977

NPI assigned

Feb 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Irene Banuchi, D.M.D.

Title

President

Phone

(787) 707-1977

Specialties & licenses 1

Addresses

Other names 1

• Irene Banuchi Orthodontist Doing business as

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679618011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CALLE J",
            "address_2": "VILLA CAPARRA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662203",
            "telephone_number": "787-397-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 202A,",
            "address_2": "107 AVE. GONZALEZ GUISTI",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-707-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBG PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANUCHI",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-707-1977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "PR1927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irene Banuchi Orthodontist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• HPM Foundation Inc
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• Yesenia Huertas Garcia, MA
• Ia Dental LLC
• Iam Primary Care LLC
• Aryam Cristina Iglesias Rivera, DC
• Diarinevis Mirell Iglesias
• Rafael Antonio Iglesias, MD
• Juan L Ilarraza Roberto, 0599B
• Implantes Y Sistemas Medicos, Inc

• Dental Clinic/Center in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.