Penuelas Dental Team LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2851 Issued in PR

Legal business name

PENUELAS DENTAL TEAM LLC

Practice address

628 Pedro Velazquez
Edificio Aurora 3B
Penuelas, PR 00624

Phone

(787) 836-3333

Fax

(787) 836-1729

NPI assigned

Oct 1, 2014

Last updated

Oct 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ivan Torres, D.M.D.

Title

President

Phone

(939) 630-4102

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Ivan Torres- Santiago, DMD

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1104154384
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1679976914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801207",
            "address_2": "COTO LAUREL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007801207",
            "telephone_number": "787-836-3333",
            "fax_number": "787-836-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 PEDRO VELAZQUEZ",
            "address_2": "EDIFICIO AURORA 3B",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-3333",
            "fax_number": "787-836-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENUELAS DENTAL TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "939-630-4102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose F Ortiz - Llaurador
• Jose Raul Ortiz-Rubio, M.D.,MPH,OMS
• Marta Iris Pacheco, CPHT
• Lenny G Pagan Rodriguez, MD
• Penuelas Dental Clinic
• Penuelas X Ray CSP
• Kelvin Perez Gonzalez
• Zuleika Perez Olivera, CLSW
• Jeannette Perez Pierantoni, PHARMD, RPH
• Emely Joan Perez Ramirez, PHD

• Dental Clinic/Center in Penuelas, PR
• Providers in Penuelas, 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 Oct 1, 2014; 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.