Active NPI
Fatemeh Golzadeh
- Pediatric Dentistry
- San Juan, PR
National Provider Identifier
1821726894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 110992
- Practice address
- RCM Esc Medicina Dental
Clinica de Odontopediatria
San Juan, PR 00936 - Phone
- (787) 758-2525
- NPI assigned
- Aug 9, 2022
- Last updated
- Nov 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 110992 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
RCM Esc Medicina Dental
Clinica de Odontopediatria
San Juan, PR 00936
Mailing address
RCM Esc Medicina Dental
Clinica de Odontopediatria
San Juan, PR 00936
Phone (787) 758-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110992 | CA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1821726894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RCM ESC MEDICINA DENTAL",
"address_2": "CLINICA DE ODONTOPEDIATRIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-758-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RCM ESC MEDICINA DENTAL",
"address_2": "CLINICA DE ODONTOPEDIATRIA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00936",
"telephone_number": "787-758-2525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLZADEH",
"first_name": "FATEMEH",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-09",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "CA",
"license": "110992",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"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 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.