San Juan Smile Spa, LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

SAN JUAN SMILE SPA, LLC

Practice address

374 Calle Rafael Lamar
San Juan, PR 00918-2117

Phone

(787) 767-7471

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Mayra Llado Ortega, DMD

Title

President

Phone

(787) 767-7471

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amadis Rodriguez Hoyos

  • General Practice Dentistry
  • San Juan, PR
  • NPI 1528707676
  NPD (past)

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1841982014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 CALLE RAFAEL LAMAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182117",
            "telephone_number": "787-767-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 CALLE RAFAEL LAMAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182117",
            "telephone_number": "787-767-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN SMILE SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "LLADO ORTEGA",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-767-7471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Juan Ophthalmology Group CSP
• San Juan Pediatric Dental Home PSC
• San Juan Pelvic Medicine Center, P.S.C.
• San Juan Periodontics
• San Juan Primary Health Care Providers, LLC
• San Juan Uscg Clinic
• San Juan Vamc
• San Juan Vamc
• San Juan Vamc
• San Juan Vamc

• Prosthodontics in San Juan, PR
• Providers in San Juan, PR by specialty
• Prosthodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.