NPIMap

Organization Active NPI

Centro Dental Pediatrico

  • Pediatric Dentistry
  • Fajardo, PR
National Provider Identifier
1881781516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CENTRO DENTAL PEDIATRICO
Practice address
General Valero Avenue
311
Fajardo, PR 00738
Phone
(787) 860-4088
Fax
(787) 863-2441
NPI assigned
Oct 6, 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
Mariedali Santiago Torres, DMD
Title
Pediatric Doctor
Phone
(787) 860-4088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

General Valero Avenue
311
Fajardo, PR 00738

Mailing address

PO Box 1144
Fajurdo, PR 00738
Phone (787) 860-4088

Other names 1

  • Dra. Maricdali Santiago Torres Other name

National Provider Directory

National Provider Directory

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881781516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "FAJURDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-4088",
            "fax_number": "787-863-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GENERAL VALERO AVENUE",
            "address_2": "311",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-860-4088",
            "fax_number": "787-863-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DENTAL PEDIATRICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO TORRES",
        "authorized_official_first_name": "MARIEDALI",
        "authorized_official_title_or_position": "PEDIATRIC DOCTOR",
        "authorized_official_telephone_number": "787-860-4088",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dra. Maricdali Santiago Torres",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fajardo, 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.