Integrated Dental Services LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

INTEGRATED DENTAL SERVICES LLC

Practice address

20253 Ponce by Pass
Centro Caribe Suite 1001
Ponce, PR 00717

Phone

(787) 812-1010

NPI assigned

Jan 31, 2023

Last updated

Jan 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan Carlos Marrero Gratacos, DMDNPI 1831224294

Title

President

Phone

(787) 812-1010

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juan Carlos Marrero Gratacos

  • General Practice Dentistry
  • Ponce, PR
  • NPI 1831224294
  Authorized official Same address or phone

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1790481935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20253 PONCE BY PASS",
            "address_2": "CENTRO CARIBE SUITE 1001",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-812-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20253 PONCE BY PASS",
            "address_2": "CENTRO CARIBE SUITE 1001",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-812-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "MARRERO GRATACOS",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-812-1010",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Instituto de Otorrinolaringologia del Caribe, CSP
• Instituto Terapeutico Ponce
• Instituto Vascular del Sur CSP
• Integral Psychology Services LLC
• Integrate Community Health System, Inc. (Metropolitan Community Clinic)
• Intercede
• Intermed, LLC
• Internal Medicine Perioperative Consultants PSC
• Internal Medicine Perioperative Consultants, PSC
• Invasive Gastro-Intestinal Medical Service PSC

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.