Abc Pediatric Dental Clinic, PSC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2424 Issued in PR

Legal business name

ABC PEDIATRIC DENTAL CLINIC, PSC

Practice address

253 Calle San Jorge
Suite I-a San Jorge II Building
San Juan, PR 00912-3307

Phone

(787) 727-3838

Fax

(787) 727-3821

NPI assigned

Aug 27, 2008

Last updated

Aug 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexis R. Pagan, DMDNPI 1467594721

Title

President

Phone

(787) 727-3838

Specialties & licenses 1

Addresses

Locations

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.

• Alexis R. Pagan, DMD

  • Pediatric Dentistry
  • San Juan, PR
  • NPI 1467594721
  NPD (past) Authorized official

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1871740308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 CALLE SAN JORGE",
            "address_2": "SUITE I-A SAN JORGE II BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123307",
            "telephone_number": "787-727-3838",
            "fax_number": "787-727-3821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 CALLE SAN JORGE",
            "address_2": "SUITE I-A SAN JORGE II BUILDING",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123307",
            "telephone_number": "787-727-3838",
            "fax_number": "787-727-3821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC PEDIATRIC DENTAL CLINIC, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-727-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "2424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aav Endocrinology LLC
• Gilda M Abad, RPH
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• Abbott Medical Puerto Rico LLC
• Abc Centro Integral Familiar LLC (ABC Mental Care)
• Abc Pharmacy Inc (Abc Pharmacy)
• Abc Unlimited Pharmacy Services, Corp
• Abc Unlimited Pharmacy Services, Corp
• Ayaat Abdel Hammed Sabri Hamed, PHARM.D
• Abg Advanced Gastro Group LLC

• Pediatric Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.