Organization Active NPI

Condado Orthodontics PSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Juan, PR
National Provider Identifier
1952828782
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
3156 Issued in PR
Legal business name
CONDADO ORTHODONTICS PSC
Practice address
1452 Ave Ashford Ste 406
San Juan, PR 00907
Phone
(787) 415-2868
Fax
(787) 415-2868
NPI assigned
Aug 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Authorized official

Name
Dr. Jose A Morales, DMDNPI 1073889812
Title
Owner
Phone
(787) 523-6949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 3156 PR Primary

Addresses

Primary practice location

1452 Ave Ashford Ste 406
San Juan, PR 00907

Mailing address

100 Calle del Muelle Apt 2204
San Juan, PR 00901-2641
Phone (787) 415-2868

National Provider Directory

National Provider Directory

Locations

1452 Ave Ashford
Ste 406
San Juan, PR 00907
Phone (787) 415-2868

Practitioners & affiliated clinicians

Practitioners 1

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": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536019200000",
    "number": "1952828782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CALLE DEL MUELLE APT 2204",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012641",
            "telephone_number": "787-415-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1452 AVE ASHFORD STE 406",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-415-2868",
            "fax_number": "787-415-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONDADO ORTHODONTICS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2018-09-04",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-523-6949",
        "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": "PR",
            "license": "3156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 4, 2018; 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.