NPIMap

Organization Active NPI

Optimum Dental Clinic

  • Dental Clinic/Center
  • Hatillo, PR
National Provider Identifier
1699949925
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OPTIMUM DENTAL CLINIC
Practice address
Carretera #653 KM 1.3
Bo. Corcovada
Hatillo, PR 00659-0000
Phone
(178) 788-0250
Fax
(178) 781-6250
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Dr. Brenda D Donato, D.M.D
Title
President
Phone
(787) 880-2500

Specialties & licenses 1

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

Addresses

Primary practice location

Carretera #653 KM 1.3
Bo. Corcovada
Hatillo, PR 00659-0000

Mailing address

PO Box 140082
Arecibo, PR 00614-0082
Phone (178) 788-0250

Other names 1

  • no Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1699949925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 140082",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006140082",
            "telephone_number": "178-788-0250",
            "fax_number": "178-781-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #653 KM 1.3",
            "address_2": "BO. CORCOVADA",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590000",
            "telephone_number": "178-788-0250",
            "fax_number": "178-781-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "17878802500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "no",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.