NPIMap

Organization Active NPI

Cirugia Oral Y Maxilofacial Cla CSP

  • Oral and Maxillofacial Surgery Clinic/Center
  • Hato Rey, PR
National Provider Identifier
1679625909
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
722 Issued in PR
Legal business name
CIRUGIA ORAL Y MAXILOFACIAL CLA CSP
Practice address
Suite 503 #400 FD Ave Roosevelt
Clinica Las Americas
Hato Rey, PR 00918
Phone
(787) 756-5300
NPI assigned
Jan 17, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Julio E GuzmanNPI 1811003700
Title
Partner
Phone
(787) 756-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 722 PR Primary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 1699 PR
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 2590 PR

Addresses

Primary practice location

Suite 503 #400 FD Ave Roosevelt
Clinica Las Americas
Hato Rey, PR 00918

Mailing address

Suite 503 #400 FD Ave Roosevelt
Clinica Las Americas
Hato Rey, PR 00918
Phone (787) 756-5300

National Provider Directory

National Provider Directory

Locations

400 Ave Fd Roosevelt
Ste 503
San Juan, PR 00918
Phone (787) 756-5300

Practitioners & affiliated clinicians

Practitioners 3

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": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1679625909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUITE 503 #400 FD AVE ROOSEVELT",
            "address_2": "CLINICA LAS AMERICAS",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-756-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 503 #400 FD AVE ROOSEVELT",
            "address_2": "CLINICA LAS AMERICAS",
            "city": "HATO REY",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-756-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRUGIA ORAL Y MAXILOFACIAL CLA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-756-5300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "722",
            "primary": true
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "1699",
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hato Rey, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.