Active NPI
Orthodontic Centers of Puerto Rico Inc.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Mayaguez, PR
National Provider Identifier
1720291073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 431
- Legal business name
- ORTHODONTIC CENTERS OF PUERTO RICO INC.
- Practice address
- 55 Meditacion
Suite 7 B
Mayaguez, PR 00680 - Phone
- (787) 834-2003
- Fax
- (787) 833-5272
- NPI assigned
- May 7, 2007
- 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
- Dr. Juan Ramon Emmanuelli Jr., DMS, MS
- Title
- Orthodontist
- Phone
- (787) 834-2003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 431 | PR | Primary |
Addresses
Primary practice location
55 Meditacion
Suite 7 B
Mayaguez, PR 00680
Mailing address
55 Meditacion
Suite 7 B
Mayaguez, PR 00680
Phone (787) 834-2003
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1720291073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MEDITACION",
"address_2": "SUITE 7 B",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-834-2003",
"fax_number": "787-833-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MEDITACION",
"address_2": "SUITE 7 B",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "00680",
"telephone_number": "787-834-2003",
"fax_number": "787-833-5272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHODONTIC CENTERS OF PUERTO RICO INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "EMMANUELLI",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "RAMON",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "787-834-2003",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DMS, MS"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PR",
"license": "431",
"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 Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.