Organization Active NPI

Grupo Dental Cma

Doing business as Clinican Dental San Miguel

  • General Practice Dentistry
  • Cabo Rojo, PR
National Provider Identifier
1841306628
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GRUPO DENTAL CMA
Doing business as
Clinican Dental San Miguel
Practice address
85 Calle Carbonell
Cabo Rojo, PR 00623-3443
Phone
(787) 254-6107
Fax
(787) 254-6107
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lenora Lopez
Title
Administrator
Phone
(787) 616-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

85 Calle Carbonell
Cabo Rojo, PR 00623-3443

Mailing address

85 Calle Carbonell
Cabo Rojo, PR 00623-3443
Phone (787) 254-6107

Other names 1

  • Clinican Dental San Miguel Doing business as

National Provider Directory

National Provider Directory

Locations

85 Calle Carbonell
Cabo Rojo, PR 00623
Phone (787) 254-6107

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841306628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CALLE CARBONELL",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233443",
            "telephone_number": "787-254-6107",
            "fax_number": "787-254-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CALLE CARBONELL",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006233443",
            "telephone_number": "787-254-6107",
            "fax_number": "787-254-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO DENTAL CMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "LENORA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-616-5141",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinican Dental San Miguel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cabo Rojo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.