Endodoncia del Noreste, PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2869 Issued in PR

Legal business name

ENDODONCIA DEL NORESTE, PSC

Practice address

Roberto Clemente Avenue
Esq Calle 99 Bloque 89 #1
Carolina, PR 00985

Phone

(787) 757-0548

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Gabriel Fuentes-Arroyo

Title

DMD/ Endodontist

Phone

(787) 757-0548

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1821340308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 CALLE CRISTOBAL COLON",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROBERTO CLEMENTE AVENUE",
            "address_2": "ESQ CALLE 99 BLOQUE 89 #1",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-757-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONCIA DEL NORESTE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "FUENTES-ARROYO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "DMD/ ENDODONTIST",
        "authorized_official_telephone_number": "787-757-0548",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.