Smile Design Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

SMILE DESIGN ORTHODONTICS, LLC

Practice address

Ave 65 Infanteria
Centro Comercial Los Flamboyanes Ste 12
San Juan, PR 00923

Phone

(787) 758-1560

NPI assigned

Jul 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Andrea Gonzalez, DMD

Title

President

Phone

(787) 691-0781

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Gonzalez Carbonell, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Juan, PR
  • NPI 1386909679
  NPD

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1891347191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 ARTERIAL B AVENUE",
            "address_2": "COLISEUM TOWER #2203",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-691-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE 65 INFANTERIA",
            "address_2": "CENTRO COMERCIAL LOS FLAMBOYANES STE 12",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00923",
            "telephone_number": "787-758-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE DESIGN ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-691-0781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sleep Solutions, Inc
• Sleepy Kidzzz CSP
• Slimvita Balance LLC
• Smartmed Billing LLC
• Smile Dental Wellness
• Smile Specialist for Kids LLC
• Smis Corporation
• Smith & Nephew Inc.
• SMM Healthcare Provider LLC
• Maitane Sobrino Alonso

• Orthodontics and Dentofacial Orthopedics Dentistry in San Juan, PR
• Providers in San Juan, PR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.