Organization Active NPI

Jeries & Company

Doing business as dental esthetics

  • General Practice Dentistry
  • Guaynabo, PR
National Provider Identifier
1881962561
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JERIES & COMPANY
Doing business as
dental esthetics
Practice address
1 Ave Arbolote
Plaza Real Suite 301
Guaynabo, PR 00969-2806
Phone
(787) 993-3666
Fax
(787) 993-3667
NPI assigned
Dec 8, 2011
Last updated
Dec 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Mr. Jorge Rivera Tartak
Title
President
Phone
(787) 993-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1 Ave Arbolote
Plaza Real Suite 301
Guaynabo, PR 00969-2806

Mailing address

Ave Albolote # 1
Plaza Real Suite 301
Guaynabo, PR 00969
Phone (787) 993-3666

Other names 1

  • dental esthetics Doing business as

National Provider Directory

National Provider Directory

Locations

1 Ave Albolote
Ste 301
Guaynabo, PR 00969
Phone (787) 993-3666

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1881962561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE ALBOLOTE # 1",
            "address_2": "PLAZA REAL SUITE 301",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-993-3666",
            "fax_number": "787-993-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVE ARBOLOTE",
            "address_2": "PLAZA REAL SUITE 301",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009692806",
            "telephone_number": "787-993-3666",
            "fax_number": "787-993-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERIES & COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "RIVERA TARTAK",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-993-3666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dental esthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.