NPIMap

Organization Active NPI

Servicios de Endodoncia del Sur

  • Clinic/Center
  • Guayama, PR
National Provider Identifier
1699933606
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2315 Issued in PR
Legal business name
SERVICIOS DE ENDODONCIA DEL SUR
Practice address
128 Calle Ashford S Ste 204
Guayama, PR 00784-5411
Phone
(787) 866-6406
Fax
(787) 864-0189
NPI assigned
May 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Dr. Arhimazda Jimenez, D.D.S.NPI 1730129388
Title
Endodontist/Owner
Phone
(787) 866-6406

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2315 PR Primary

Addresses

Primary practice location

128 Calle Ashford S Ste 204
Guayama, PR 00784-5411

Mailing address

PO Box 1499
Guayama, PR 00785-1499
Phone (787) 866-6406

National Provider Directory

National Provider Directory

Locations

128 Calle Ashford S
Ste 204
Guayama, PR 00784
Phone (787) 866-6406

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": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1699933606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1499",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007851499",
            "telephone_number": "787-866-6406",
            "fax_number": "787-864-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 CALLE ASHFORD S STE 204",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007845411",
            "telephone_number": "787-866-6406",
            "fax_number": "787-864-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DE ENDODONCIA DEL SUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ARHIMAZDA",
        "authorized_official_title_or_position": "ENDODONTIST/OWNER",
        "authorized_official_telephone_number": "787-866-6406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "2315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.