Organization Active NPI

Correa & Defendini Dental, P.S.C.

  • Dental Clinic/Center
  • San Juan, PR
National Provider Identifier
1790115236
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1770 Issued in PR
Legal business name
CORREA & DEFENDINI DENTAL, P.S.C.
Practice address
1725 Calle Yangtze
Rio Piedras Heights
San Juan, PR 00926-3152
Phone
(787) 758-5120
Fax
(787) 763-3449
NPI assigned
Nov 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Authorized official

Name
Dr. Julio Francisco Correa, D.M.D.NPI 1265570337
Title
President
Phone
(787) 758-5120

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
Dental Clinic/Center 261QD0000X 1770 PR Primary

Addresses

Primary practice location

1725 Calle Yangtze
Rio Piedras Heights
San Juan, PR 00926-3152

Mailing address

1725 Calle Yangtze
Rio Piedras Heights
San Juan, PR 00926-3152
Phone (787) 758-5120

National Provider Directory

National Provider Directory

Locations

1725 Calle Yangtze
San Juan, PR 00926
Phone (787) 758-5120

Practitioners & affiliated clinicians

Practitioners 3

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": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1790115236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 CALLE YANGTZE",
            "address_2": "RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263152",
            "telephone_number": "787-758-5120",
            "fax_number": "787-763-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 CALLE YANGTZE",
            "address_2": "RIO PIEDRAS HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263152",
            "telephone_number": "787-758-5120",
            "fax_number": "787-763-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORREA & DEFENDINI DENTAL, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "JULIO",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-758-5120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "1770",
            "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 Nov 20, 2013; 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.