Organization Active NPI

Gnathos Surgical Group, LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Carolina, PR
National Provider Identifier
1699074039
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2070 Issued in PR
Legal business name
GNATHOS SURGICAL GROUP, LLC
Practice address
Suite 305 Carolina Shopping Court
Carolina, PR 00985
Phone
(787) 641-4646
Fax
(787) 750-4646
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Dr. Francisco L Bermudez, D.M.D
Title
President
Phone
(787) 237-4418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2070 PR Primary

Addresses

Primary practice location

Suite 305 Carolina Shopping Court
Carolina, PR 00985

Mailing address

PMB 209 PO Box 70344
San Juan, PR 00936-8344
Phone (787) 641-4646

Other practice location 1

Suite 400 Carimed Plaza
B1 Santa Cruz St.
Bayamon, PR 00961
Phone (787) 998-5008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1699074039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 209 PO BOX 70344",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009368344",
            "telephone_number": "787-641-4646",
            "fax_number": "787-750-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUITE 305 CAROLINA SHOPPING COURT",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-641-4646",
            "fax_number": "787-750-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Suite 400 Carimed Plaza",
            "address_2": "B1 Santa Cruz St.",
            "address_purpose": "LOCATION",
            "city": "Bayamon",
            "state": "PR",
            "postal_code": "00961",
            "country_code": "US",
            "telephone_number": "787-998-5008",
            "fax_number": "787-998-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GNATHOS SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "BERMUDEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-237-4418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "2070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; 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.