Bairoa Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

4638 Issued in PR

Legal business name

BAIROA DENTAL CARE

Practice address

#1511 Ave, Ponce de Leon, Area Comercial 4B, Torre 600
Clusswl
San Juan, PR 00909

Phone

(787) 766-7472

NPI assigned

Nov 1, 2007

Last updated

Apr 20, 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. Elisa Mari Rivera, DMDNPI 1538223979

Title

Dentist

Phone

(787) 746-6660

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Elisa M Rivera, D.M.D

  • Dentist
  • Caguas, PR
  • NPI 1538223979
  NPD (past) Authorized official
• Sara Tacher-Roffe, PSY.D.

  • Psychologist
  • Guaynabo, PR
  • NPI 1134116163
  NPD (past)
• Magna Isabelle Wick, DMD

  • General Practice Dentistry
  • Caguas, PR
  • NPI 1720452600
  NPD (past)

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1710166186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#1511 AVE, PONCE DE LEON, AREA COMERCIAL 4B, TORRE 600",
            "address_2": "CIUDADELA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-766-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#1511 AVE, PONCE DE LEON, AREA COMERCIAL 4B, TORRE 600",
            "address_2": "CLUSSWL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-766-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIROA DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "ELISA",
        "authorized_official_middle_name": "MARI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-746-6660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "4638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Francisco Baez
• Jose A Baez, M.D.
• Nestor Baez
• Pedro Juan Baez, MD
• Suleimy Baez, PSY D
• Jessica Marie Bajohr, DC
• Wanda Balagtas, OTR/L
• Balanced Chiropractic Center LLC
• Odaly Surey Balasquide Odeh
• Pedro Balbuena Almodovar

• Dental Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.