Organization Active NPI

Smile Specialist for Kids LLC

  • Pediatric Dentistry
  • San Juan, PR
National Provider Identifier
1780494682
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SMILE SPECIALIST FOR KIDS LLC
Practice address
525 Ave FD Roosevelt Ofc 812
San Juan, PR 00918-8058
Phone
(787) 751-5317
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Dr. Mariela E Ramos Rodriguez
Title
DMD
Phone
(787) 406-2301

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

525 Ave FD Roosevelt Ofc 812
San Juan, PR 00918-8058

Mailing address

1010 Calle Orchid Apt 502
San Juan, PR 00926-5978
Phone (787) 406-2301

National Provider Directory

National Provider Directory

Locations

525 Ave Fd Roosevelt
Ofc 812
San Juan, PR 00918
Phone (787) 751-5317

Practitioners & affiliated clinicians

Practitioners 2

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": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1780494682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 CALLE ORCHID APT 502",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265978",
            "telephone_number": "787-406-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 AVE FD ROOSEVELT OFC 812",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009188058",
            "telephone_number": "787-751-5317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SPECIALIST FOR KIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-12",
        "status": "A",
        "authorized_official_last_name": "RAMOS RODRIGUEZ",
        "authorized_official_first_name": "MARIELA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "787-406-2301",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.