Penuelas Dental Clinic

Primary specialty

DentistTaxonomy code 122300000X

License

1964 Issued in PR

Legal business name

PENUELAS DENTAL CLINIC

Practice address

628 Pedro Velazquez Aurora 3B
Penuelas, PR 00624

Phone

(787) 836-3333

Fax

(787) 836-1729

NPI assigned

Apr 24, 2007

Last updated

Aug 22, 2020By 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. Gilberto Colon, DDS

Title

Dentista

Phone

(787) 836-3333

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720206535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 PEDRO VELAZQUEZ AURORA 3B",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-3333",
            "fax_number": "787-836-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 PEDRO VELAZQUEZ AURORA 3B",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-836-3333",
            "fax_number": "787-836-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENUELAS DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "GILBERTO",
        "authorized_official_title_or_position": "DENTISTA",
        "authorized_official_telephone_number": "787-836-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "1964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanairy Olivencia Gonzalez
• Jose F Ortiz - Llaurador
• Jose Raul Ortiz-Rubio, M.D.,MPH,OMS
• Marta Iris Pacheco, CPHT
• Lenny G Pagan Rodriguez, MD
• Penuelas Dental Team LLC
• Penuelas X Ray CSP
• Kelvin Perez Gonzalez
• Zuleika Perez Olivera, CLSW
• Jeannette Perez Pierantoni, PHARMD, RPH

• Dentist in Penuelas, PR
• Providers in Penuelas, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.