NPIMap

Organization Active NPI

Pishadent,LLC

  • Dentist
  • Ponce, PR
National Provider Identifier
1952747545
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2871 Issued in PR
Legal business name
PISHADENT,LLC
Practice address
15 Calle Jardines
S-1
Ponce, PR 00730-3547
Phone
(787) 840-3435
NPI assigned
May 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Miss Rolon E Glenda, O
Title
Assistant
Phone
(787) 630-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2871 PR Primary

Addresses

Primary practice location

15 Calle Jardines
S-1
Ponce, PR 00730-3547

Mailing address

Jardines Fagot 15
S-1
Ponce, PR 00716
Phone (787) 840-3435

Other names 1

  • PATRICIA IRIZARRI DME Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1952747545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARDINES FAGOT 15",
            "address_2": "S-1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-840-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CALLE JARDINES",
            "address_2": "S-1",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007303547",
            "telephone_number": "787-840-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PISHADENT,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "GLENDA",
        "authorized_official_first_name": "ROLON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "787-630-8288",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "O"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PR",
            "license": "2871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PATRICIA IRIZARRI DME",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.