NPIMap

Organization Active NPI

Centro de Periodoncia E Implantes de PR,PSC

  • Dental Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1962685701
Registry record updated Dec 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2577 Issued in PR
Legal business name
CENTRO DE PERIODONCIA E IMPLANTES DE PR,PSC
Practice address
101 Ave San Patricio
Maramar Plaza Ste. 830
Guaynabo, PR 00968-2645
Phone
(787) 781-2737
Fax
(787) 783-7320
NPI assigned
Dec 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2007

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

Authorized official

Name
Dr. Reinaldo Rosas, D.M.D.,M.S.NPI 1710069547
Title
President
Phone
(787) 781-2737

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
Dental Clinic/Center 261QD0000X 2577 PR Primary

Addresses

Primary practice location

101 Ave San Patricio
Maramar Plaza Ste. 830
Guaynabo, PR 00968-2645

Mailing address

101 Ave San Patricio
Maramar Plaza Ste. 830
Guaynabo, PR 00968-2645
Phone (787) 781-2737

National Provider Directory

National Provider Directory
Tax ID family
Centro de Periodoncia E Implantes de PR PSC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Ave San Patricio
Ste 830
Guaynabo, PR 00968
Phone (787) 781-2737

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": "1197763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197763200000",
    "number": "1962685701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO",
            "address_2": "MARAMAR PLAZA STE. 830",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682645",
            "telephone_number": "787-781-2737",
            "fax_number": "787-783-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVE SAN PATRICIO",
            "address_2": "MARAMAR PLAZA STE. 830",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682645",
            "telephone_number": "787-781-2737",
            "fax_number": "787-783-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE PERIODONCIA E IMPLANTES DE PR,PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-16",
        "last_updated": "2007-12-16",
        "status": "A",
        "authorized_official_last_name": "ROSAS",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-781-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D.,M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2007; 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.