NPIMap

Organization Active NPI

Dorado Family Dental Center PSC

  • Dental Clinic/Center
  • Dorado, PR
National Provider Identifier
1689972143
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1854 Issued in PR
Legal business name
DORADO FAMILY DENTAL CENTER PSC
Practice address
410 Calle Mendez Vigo
Suite 102
Dorado, PR 00646-4800
Phone
(787) 626-0755
Fax
(787) 626-0758
NPI assigned
Mar 8, 2011
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Lupita Fernandez, DMD
Title
President
Phone
(787) 372-4309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1854 PR Primary

Addresses

Primary practice location

410 Calle Mendez Vigo
Suite 102
Dorado, PR 00646-4800

Mailing address

410 Calle Mendez Vigo
Suite 102
Dorado, PR 00646-4800
Phone (787) 626-0755

National Provider Directory

National Provider Directory

Locations

410 Calle Mendez Vigo
Ste 102
Dorado, PR 00646
Phone (787) 626-0755

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1689972143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CALLE MENDEZ VIGO",
            "address_2": "SUITE 102",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464800",
            "telephone_number": "787-626-0755",
            "fax_number": "787-626-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CALLE MENDEZ VIGO",
            "address_2": "SUITE 102",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006464800",
            "telephone_number": "787-626-0755",
            "fax_number": "787-626-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORADO FAMILY DENTAL CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "LUPITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-372-4309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "1854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorado, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.