Atlantic Dental CSP

Primary specialty

DentistTaxonomy code 122300000X

License

1892 Issued in PR

Legal business name

ATLANTIC DENTAL CSP

Practice address

187 Calle a R Barcelo
Arecibo, PR 00612-4528

Phone

(787) 880-0945

NPI assigned

Jul 31, 2006

Last updated

Oct 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jaime Giraud, DDSNPI 1740298603

Title

President

Phone

(787) 880-0945

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaime Giraud, DDS

  • Dentist
  • Arecibo, PR
  • NPI 1740298603
  NPD (past) Authorized official

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1982610200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141616",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006141616",
            "telephone_number": "787-880-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 CALLE A R BARCELO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124528",
            "telephone_number": "787-880-0945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC DENTAL CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "GIRAUD",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-880-0945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yelitza Marie Avila Aguilar, LIC
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• Dentist in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.