Servicios de Endodoncia del Sur

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2315 Issued in PR

Legal business name

SERVICIOS DE ENDODONCIA DEL SUR

Practice address

Ashford Medical Palza Calle Ashford#128 Sur
Suite 204
Guayama, PR 00784

Phone

(787) 866-6406

NPI assigned

Aug 5, 2009

Organization subpart

No

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

Authorized official

Name

Arhimazda Jimenez Bayona, DDS

Title

Dentist

Phone

(787) 866-6406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1720219900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ASHFORD MEDICAL PALZA CALLE ASHFORD#128 SUR",
            "address_2": "SUITE 204",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ASHFORD MEDICAL PALZA CALLE ASHFORD#128 SUR",
            "address_2": "SUITE 204",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "00784",
            "telephone_number": "787-866-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVICIOS DE ENDODONCIA DEL SUR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "BAYONA",
        "authorized_official_first_name": "ARHIMAZDA",
        "authorized_official_middle_name": "JIMENEZ",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-866-6406",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "2315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Sonia Santos Hernandez, R PH
• Kelvin Santos Roman, OD
• Gloria Santos-Ramos
• Irmary Santos, RN
• Servicios de Endodoncia del Sur
• Servimed Inc
• David T Sicard Figueroa
• Sonaly Sierra Alicea, PHD
• Lissette Sierra
• Smart Care Therapy Group LLC

• Endodontics in Guayama, PR
• Providers in Guayama, PR by specialty
• Endodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; 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.