Servicios Dentales DDS, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SERVICIOS DENTALES DDS, LLC

Practice address

2053 Centro Caribe Ponce by Pass Suite 101
Ponce, PR 00730-0000

Phone

(787) 812-1010

NPI assigned

Sep 30, 2021

Last updated

Nov 12, 2021By 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. Daniel Soto, DMD

Title

President

Phone

(787) 432-2708

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 4

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.

• Daniel Soto Soto, DMD

  • General Practice Dentistry
  • Gurabo, PR
  • NPI 1316614647
  Medicare reassignment NPD
• Alejandro Mendez, DMD

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1033887401
  NPD
• Juan Carlos Marrero Gratacos

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1831224294
  NPD (past)
• Amilcar Rafael Rodriguez Melendez, D.M.D.

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1770630865
  NPD (past)

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

{
    "created_epoch": "1632960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1700558541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800485",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007800485",
            "telephone_number": "787-432-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 CENTRO CARIBE PONCE BY PASS SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007300000",
            "telephone_number": "787-812-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DENTALES DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-30",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-12",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-432-2708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Serrano, RN
• Myrta Noemi Serrano
• Yairisis M. Rivera Serrano
• Yamilka Serrano
• Servicios de Salud En El Hogar la Providencia Inc (Hospicio La Providencia)
• Servicios Interdisciplinarios de Bienestar Mental LLC
• Servicios Medicos del Sur LLC
• Servicios Medicos Geriatricos En El Hogar
• Servicios Multidiciplinarios Para la Conducta Humana
• Aida Dayana Sesma Alvarez

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.