Clinica Dental Jireh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2155 Issued in PR

Legal business name

CLINICA DENTAL JIREH

Practice address

R14 Colina la Marquesa
Urb Las Colinas
Toa Baja, PR 00949-4930

Phone

(787) 786-4133

NPI assigned

Apr 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Jose Berrios

Title

Administrator

Phone

(787) 786-4133

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1881984854",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 1435",
            "city": "SABANA SECA",
            "state": "PR",
            "postal_code": "00952",
            "telephone_number": "787-786-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "R14 COLINA LA MARQUESA",
            "address_2": "URB LAS COLINAS",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009494930",
            "telephone_number": "787-786-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DENTAL JIREH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-12",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "BERRIOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-786-4133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2155",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRA LIVIA M CRUZ FELIX",
            "identifier": "1902947294",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR ANGEL I HERNANDEZ PEREZ",
            "identifier": "1821038191",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edda Cintron, PT
• Lizzandra E Cintron, PHARM. D.
• Clinica de Servicios Psicologicos Dra Morales Casanas, CSP
• Clinica de Servicios Psicologicos Y Opciones Psicoeducativas
• Clinica Dental Dr. Garcia Jordan PSC
• Clinica Multidisciplinaria Libelula
• Alejandra Maria Collado Yulfo, LND
• Marangely Collazo-Vega
• Luz Colon Acevedo Sr.
• Claudimar Colon Irizarry, DMD

• General Practice Dentistry in Toa Baja, PR
• Providers in Toa Baja, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.