Clinica Dental Rafael J.Gomez Matta PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0721 Issued in PR

Legal business name

CLINICA DENTAL RAFAEL J.GOMEZ MATTA PSC

Practice address

57 Calle Degetau N
Aibonito, PR 00705-3613

Phone

(787) 735-3500

NPI assigned

Sep 1, 2010

Last updated

Sep 1, 2010By 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. Rafael Jose Gomez, DMD

Title

President

Phone

(787) 735-3500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1730496548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2124",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052124",
            "telephone_number": "787-735-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 CALLE DEGETAU N",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007053613",
            "telephone_number": "787-735-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL RAFAEL J.GOMEZ MATTA PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-735-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "0721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Integral Multidiciplinario de Aibonito (CIMA Parcial Aibonito)
• Centro Puma
• Carlos A Cepero Ayende, M.D.
• Clinica Cardiovascular de la Montana PSC
• Clinica de Manejo del Dolor Dr Crawford W Long C S P
• Clinica Oftalmica de la Montana, C.S.P.
• Clinica Todo Salud - Aibonito LLC (CDT Clinica Todo Salud Aibonito, LLC)
• Clinica Todo Salud - Aibonito, LLC
• Clinica Todo Salud - Aibonito, LLC (Clinica Todo Salud Aibonito, LLC Radiology)
• Clinica Todo Salud - Aibonito, LLC

• Dental Clinic/Center in Aibonito, PR
• Providers in Aibonito, 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 Sep 1, 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.

Verify at the official NPI Registry.