Kip Oral & Maxillofacial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

KIP ORAL & MAXILLOFACIAL SURGERY LLC

Practice address

27 Calle Dr Nelson Perea Ste 205
Mayaguez, PR 00680-4970

Phone

(917) 705-2383

NPI assigned

Aug 18, 2026

Last updated

Aug 18, 2026By 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. Kendra Irizarry Pagan, DMDNPI 1427491786

Title

Owner

Phone

(917) 705-2383

Specialties & licenses 1

Addresses

Locations

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.

• Kendra Marie Irizarry Pagan, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1427491786
  Authorized official Same address or phone

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

{
    "created_epoch": "1787011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1770498248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CALLE DR NELSON PEREA STE 205",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CALLE DR NELSON PEREA STE 205",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804970",
            "telephone_number": "917-705-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIP ORAL & MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY PAGAN",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-705-2383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael Jose Justiniano, M.D.
• Sandra M Justiniano, D.M.D.
• JV Dental LLC
• Karla F Velez-Medicina Interna CSP
• Kid's Therapy Services Inc.
• Ksmllc
• La Clinica de la Albizu Mayaguez
• La Nueva Esperanza
• Lab Clinico Irizarry Guasch Inc
• Labchems Corp

• Oral and Maxillofacial Surgery (Dentist) in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.