Ea Dental, P.S.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2691 Issued in PR

Legal business name

EA DENTAL, P.S.C.

Practice address

Carr 129 KM 8.8 Campo Alegre
#2
Hatillo, PR 00659-9819

Phone

(787) 262-5757

Fax

(787) 262-5757

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Edgardo Alberto Estremera, DMDNPI 1558334664

Title

Presidente

Phone

(787) 262-5757

Specialties & licenses 1

Addresses

Practitioners 2

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

• Edgardo Estremera

  • General Practice Dentistry
  • Arecibo, PR
  • NPI 1558334664
  NPD (past) Authorized official
• Linette Angulo, D.M.D

  • General Practice Dentistry
  • Arecibo, PR
  • NPI 1881757995
  NPD (past)

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1932467990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 92970",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006129559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 129 KM 8.8 CAMPO ALEGRE",
            "address_2": "#2",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006599819",
            "telephone_number": "787-262-5757",
            "fax_number": "787-262-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EA DENTAL, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "ESTREMERA",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-262-5757",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Easy Health Medical Solutions Puerto Rico PC
• Elite Health Medical LLC
• Elsa R. Martinez Serrano
• Empresas Optica Nacional
• Emuna Medicine & Aesthetics Clinic LLC

• General Practice Dentistry in Hatillo, PR
• Providers in Hatillo, 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 May 7, 2012; 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.