Active NPI
VR Smile Design Inc.
- Dental Clinic/Center
- Mayaguez, PR
National Provider Identifier
1710218581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 2159
- Legal business name
- VR SMILE DESIGN INC.
- Practice address
- Office Park
355 Ave. Hostos, Suite 205
Mayaguez, PR 00680-1509 - Phone
- (787) 652-5551
- NPI assigned
- Jan 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Astrid Rivera, M.D
- Title
- President
- Phone
- (787) 652-5550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 2159 | PR | Primary |
Addresses
Primary practice location
Office Park
355 Ave. Hostos, Suite 205
Mayaguez, PR 00680-1509
Mailing address
400 Calle Calaf
Suite 361
San Juan, PR 00918-1314
Phone (787) 993-3535
National Provider Directory
National Provider Directory- Tax ID family
- VR Smile Design
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Mayaguez, PR
- NPI 1043509102
Locations
355 Ave Hostos
Ofc Park
Mayaguez, PR 00680
Phone (787) 652-5551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263859200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1710218581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 CALLE CALAF",
"address_2": "SUITE 361",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009181314",
"telephone_number": "787-993-3535",
"fax_number": "787-522-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OFFICE PARK",
"address_2": "355 AVE. HOSTOS, SUITE 205",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006801509",
"telephone_number": "787-652-5551"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VR SMILE DESIGN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-19",
"last_updated": "2010-01-20",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "ASTRID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-652-5550",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "PR",
"license": "2159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.