Clinica de Servicios de Ortodoncia,CSP

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1382 Issued in PR

Legal business name

CLINICA DE SERVICIOS DE ORTODONCIA,CSP

Practice address

171 Ave Pedro Albizu Campos
Aguadilla, PR 00603-5723

Phone

(787) 891-1338

Fax

(787) 891-2266

NPI assigned

Nov 20, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Pedro Ernesto Valentin, DMD

Title

President

Phone

(787) 891-1338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354492800000",
    "number": "1992049522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006050039",
            "telephone_number": "787-891-1338",
            "fax_number": "787-891-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 AVE PEDRO ALBIZU CAMPOS",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035723",
            "telephone_number": "787-891-1338",
            "fax_number": "787-891-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE SERVICIOS DE ORTODONCIA,CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-12-03",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-891-1338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "1382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.