Organization Active NPI

Quintana Serrano Dental, Inc

  • Dentist
  • Isabela, PR
National Provider Identifier
1780045773
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3161 Issued in PR
Legal business name
QUINTANA SERRANO DENTAL, INC
Practice address
5 Calle Barbosa
Suite 1
Isabela, PR 00662-2901
Phone
(787) 872-2046
Fax
(787) 830-5984
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

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

Authorized official

Name
Nicole Quintana, DMDNPI 1144657818
Title
Dentist
Phone
(787) 872-2046

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 3161 PR Primary

Addresses

Primary practice location

5 Calle Barbosa
Suite 1
Isabela, PR 00662-2901

Mailing address

5 Calle Barbosa
Suite 1
Isabela, PR 00662-2901
Phone (787) 872-2046

National Provider Directory

National Provider Directory

Locations

5 Calle Barbosa
Ste 1
Isabela, PR 00662
Phone (787) 872-2046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1780045773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CALLE BARBOSA",
            "address_2": "SUITE 1",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622901",
            "telephone_number": "787-872-2046",
            "fax_number": "787-830-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE BARBOSA",
            "address_2": "SUITE 1",
            "city": "ISABELA",
            "state": "PR",
            "postal_code": "006622901",
            "telephone_number": "787-872-2046",
            "fax_number": "787-830-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTANA SERRANO DENTAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-872-2046",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "3161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isabela, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.