NPIMap

Organization Active NPI

Oficina Dental Los Dominicos, PSC

  • Preferred Provider Organization
  • Toa Baja, PR
National Provider Identifier
1962726984
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
2242 Issued in PR
Legal business name
OFICINA DENTAL LOS DOMINICOS, PSC
Practice address
Ave Boulevard, Los Dominicos Shopping Center
Local 21 B , Levittown
Toa Baja, PR 00949-0000
Phone
(787) 784-0520
NPI assigned
Mar 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Mrs. Edmarie De Jesus, MRS
Title
Administrative
Phone
(787) 784-0520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 2242 PR Primary

Addresses

Primary practice location

Ave Boulevard, Los Dominicos Shopping Center
Local 21 B , Levittown
Toa Baja, PR 00949-0000

Mailing address

Ave Boulevard, Los Dominicos Shopping Center
Local 21-B
Toa Baja, PR 00949-0000
Phone (787) 787-0520

Other names 1

  • OFICINA DENTAL LOS DOMINICOS Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1962726984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE BOULEVARD, LOS DOMINICOS SHOPPING CENTER",
            "address_2": "LOCAL 21-B",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009490000",
            "telephone_number": "787-787-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE BOULEVARD, LOS DOMINICOS SHOPPING CENTER",
            "address_2": "LOCAL 21 B , LEVITTOWN",
            "city": "TOA BAJA",
            "state": "PR",
            "postal_code": "009490000",
            "telephone_number": "787-784-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OFICINA DENTAL LOS DOMINICOS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "EDMARIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "787-784-0520",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MRS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "PR",
            "license": "2242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OFICINA DENTAL LOS DOMINICOS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toa Baja, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.