Organization Active NPI

Ashford Dental

Doing business as Omar Cruz

  • Prosthodontics
  • San Juan, PR
National Provider Identifier
1891035390
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
015 Issued in PR
Legal business name
ASHFORD DENTAL
Doing business as
Omar Cruz
Practice address
1018 Ave Ashford
Suite 201
San Juan, PR 00907-1100
Phone
(787) 705-1732
NPI assigned
Feb 20, 2013
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Omar Cruz, DMD
Title
Dentist
Phone
(787) 705-1732

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 016 PR
Prosthodontics 1223P0700X 015 PR Primary

Addresses

Primary practice location

1018 Ave Ashford
Suite 201
San Juan, PR 00907-1100

Mailing address

1018 Ave Ashford
Suite 201
San Juan, PR 00907-1100
Phone (787) 705-1732

Other names 1

  • Omar Cruz Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1891035390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 AVE ASHFORD",
            "address_2": "SUITE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071100",
            "telephone_number": "787-705-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 AVE ASHFORD",
            "address_2": "SUITE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071100",
            "telephone_number": "787-705-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHFORD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-705-1732",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "016",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "PR",
            "license": "015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omar Cruz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.