Active NPI
MCR Dental Services LLC
- General Practice Dentistry
- Cabo Rojo, PR
National Provider Identifier
1780416362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mayra Camacho Roldos, DMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Cabo Rojo, PR
- NPI 1255441754
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.