NPIMap

Organization Active NPI

Grupo Dental Cordova CSP

  • Dentist
  • Bayamon, PR
National Provider Identifier
1851480834
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
987 Issued in PR
Legal business name
GRUPO DENTAL CORDOVA CSP
Practice address
DD16 Calle 25
Riverview
Bayamon, PR 00961-3804
Phone
(787) 780-6261
NPI assigned
Oct 11, 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
Dr. Carlos E Cordova, DMD
Title
Dentist
Phone
(787) 780-6261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 987 PR Primary

Addresses

Primary practice location

DD16 Calle 25
Riverview
Bayamon, PR 00961-3804

Mailing address

Calle 25 DD-16
Riverview
Bayamon, PR 00966
Phone (787) 780-6261

National Provider Directory

National Provider Directory

Locations

DD16 Calle 25
Bayamon, PR 00961
Phone (787) 780-6261

Practitioners & affiliated clinicians

Practitioners 2

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851480834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 25 DD-16",
            "address_2": "RIVERVIEW",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-780-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DD16 CALLE 25",
            "address_2": "RIVERVIEW",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009613804",
            "telephone_number": "787-780-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO DENTAL CORDOVA CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-780-6261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, 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.