Barceloneta Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2865 Issued in PR

Legal business name

BARCELONETA DENTAL GROUP

Practice address

1 Calle Tomas Davila
Barceloneta, PR 00617-2798

Phone

(787) 846-0331

Fax

(787) 846-0331

NPI assigned

Dec 15, 2011

Last updated

Dec 15, 2011By 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. Myrna E Camacho, D.M.D.

Title

General Dentist

Phone

(787) 846-0331

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323907200000",
    "number": "1750650032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3431",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009703431",
            "telephone_number": "787-846-0331",
            "fax_number": "787-846-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE TOMAS DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006172798",
            "telephone_number": "787-846-0331",
            "fax_number": "787-846-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARCELONETA DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-15",
        "last_updated": "2011-12-15",
        "status": "A",
        "authorized_official_last_name": "CAMACHO",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "787-846-0331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Barceloneta Primary Health Services Inc. (Dental)

• General Practice Dentistry in Barceloneta, PR
• Providers in Barceloneta, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2011; 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.