Organization Active NPI

Zully Rubi Dental LLC

  • Dentist
  • Mayaguez, PR
National Provider Identifier
1770234429
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ZULLY RUBI DENTAL LLC
Practice address
Edif Policlinica Bella Vista
770 Ave Hostos Suite 203
Mayaguez, PR 00680
Phone
(787) 636-3300
NPI assigned
Jan 14, 2022
Last updated
Jan 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Dr. Zully R De Jesus
Title
Dentist
Phone
(787) 361-5380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

Edif Policlinica Bella Vista
770 Ave Hostos Suite 203
Mayaguez, PR 00680

Mailing address

144 Hacienda de la Baume
Boqueron, PR 00622-9706
Phone (787) 636-3300

National Provider Directory

National Provider Directory

Locations

770 Ave Hostos
Ste 203
Mayaguez, PR 00682
Phone (787) 636-3300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1770234429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 HACIENDA DE LA BAUME",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "006229706",
            "telephone_number": "787-636-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF POLICLINICA BELLA VISTA",
            "address_2": "770 AVE HOSTOS SUITE 203",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-636-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZULLY RUBI DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "ZULLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-361-5380",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "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 Jan 14, 2022; 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.