Centro Dental City View Plaza, PSC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1728 Issued in PR

Legal business name

CENTRO DENTAL CITY VIEW PLAZA, PSC

Practice address

48 Carr 165 # KM 1/2
Suite 415
Guaynabo, PR 00968-8031

Phone

(787) 620-2500

Fax

(787) 620-2505

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Miguel J Santaella Hernandez, DDS

Title

Owner

Phone

(787) 620-2500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1831631951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 CITY VIEW PLAZA",
            "address_2": "SUITE 415",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-620-2500",
            "fax_number": "787-620-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 CARR 165 # KM 1/2",
            "address_2": "SUITE 415",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688031",
            "telephone_number": "787-620-2500",
            "fax_number": "787-620-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DENTAL CITY VIEW PLAZA, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "SANTAELLA HERNANDEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-620-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Guaynabo, PR
• Providers in Guaynabo, 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 Nov 7, 2016; 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.