Centro Periodontal del Este,CSP

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2009 Issued in PR

Legal business name

CENTRO PERIODONTAL DEL ESTE,CSP

Practice address

Humacao Medical Plaza Ave. Font Martelo
Offic 104
Humacao, PR 00791

Phone

(787) 852-4475

Fax

(787) 285-0632

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rafael Hernandez, D.M.D.NPI 1396848339

Title

President

Phone

(787) 852-4475

Specialties & licenses 1

Addresses

Locations

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.

• Rafael A Hernandez, DMD

  • Periodontics
  • Humacao, PR
  • NPI 1396848339
  Authorized official Same address or phone

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1912174699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 CALLE FONT MARTELO E",
            "address_2": "OFICINA 104",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-4475",
            "fax_number": "787-285-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HUMACAO MEDICAL PLAZA AVE. FONT MARTELO",
            "address_2": "OFFIC 104",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-852-4475",
            "fax_number": "787-285-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PERIODONTAL DEL ESTE,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-852-4475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Neumologico de Humacao LLC
• Centro Oftalmologico Benitez LLC
• Centro Oftalmologico del Este CSP
• Centro Ortodontico Dra. Annelisse Figueroa
• Centro Ortodontico DRS. Figueroa
• Centro Psicologico Conductual del Caribe Corp
• Centro Psiquiatrico Glomarish
• Centro Psycologico de Puerto Rico Corp (Centro Psicologico De Puerto Rico Corp)
• Centro Quiropractico Familiar Humacao PSC
• Centro Radiologico de Humacao, Inc.

• Dental Clinic/Center in Humacao, PR
• Providers in Humacao, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.