NPIMap

Organization Active NPI

San Juan Pediatric Dental Home PSC

  • Dental Clinic/Center
  • San Juan, PR
National Provider Identifier
1780876995
Registry record updated Aug 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1980 Issued in PR
Legal business name
SAN JUAN PEDIATRIC DENTAL HOME PSC
Practice address
282 Ave Pinero Ste 211
Plaza El Amal
San Juan, PR 00927-3918
Phone
(787) 765-2679
Fax
(787) 753-3934
NPI assigned
Aug 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2007

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

Authorized official

Name
Dr. Noel Joaquin Aymat, DMD
Title
President and Pediatric Dentist
Phone
(787) 765-2679

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1980 PR Primary

Addresses

Primary practice location

282 Ave Pinero Ste 211
Plaza El Amal
San Juan, PR 00927-3918

Mailing address

282 Ave Pinero Ste 211
Plaza El Amal
San Juan, PR 00927-3918
Phone (787) 765-2679

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186790400000",
    "number": "1780876995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "282 AVE PINERO STE 211",
            "address_2": "PLAZA EL AMAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009273918",
            "telephone_number": "787-765-2679",
            "fax_number": "787-753-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "282 AVE PINERO STE 211",
            "address_2": "PLAZA EL AMAL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009273918",
            "telephone_number": "787-765-2679",
            "fax_number": "787-753-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN PEDIATRIC DENTAL HOME PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A",
        "authorized_official_last_name": "AYMAT",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "JOAQUIN",
        "authorized_official_title_or_position": "PRESIDENT AND PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "787-765-2679",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "1980",
            "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 Aug 11, 2007; 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.