Organization Active NPI

MCR Dental Services LLC

  • General Practice Dentistry
  • Cabo Rojo, PR
National Provider Identifier
1780416362
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MCR DENTAL SERVICES LLC
Practice address
Carr. 308 KM. 0.0, Int. Carr. 103, Edif. #833
Cabo Rojo, PR 00623
Phone
(787) 255-3486
NPI assigned
Aug 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Dr. Mayra Camacho Roldos, DMDNPI 1255441754
Title
Business Administrator & Dentist
Phone
(787) 255-3486

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

Carr. 308 KM. 0.0, Int. Carr. 103, Edif. #833
Cabo Rojo, PR 00623

Mailing address

PO Box 573
Boqueron, PR 00622
Phone (787) 255-3486

National Provider Directory

National Provider Directory

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": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1780416362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 573",
            "city": "BOQUERON",
            "state": "PR",
            "postal_code": "00622",
            "telephone_number": "787-255-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 308 KM. 0.0, INT. CARR. 103, EDIF. #833",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "00623",
            "telephone_number": "787-255-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCR DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "CAMACHO ROLDOS",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR & DENTIST",
        "authorized_official_telephone_number": "787-255-3486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.