SERVICIOS ESPECIALIZADOS DE ORTODONCIA NPI 1003004714

Clinic/Center (Dental)

SERVICIOS ESPECIALIZADOS DE ORTODONCIA

Servicios Especializados De Ortodoncia is a clinic/center in San Juan, PR. Servicios Especializados De Ortodoncia NPI is 1003004714. The provider's taxonomy code is 261QD0000X - Clinic/Center.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003004714
Provider Name: SERVICIOS ESPECIALIZADOS DE ORTODONCIA
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 10-09-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 10-09-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Authorized Official Name: DR. VICTOR L ACEVEDO DMD ,MS Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: PRESIDENT
Authorized Official Phone:


Business Address Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

OFFICE 12 65 INFANTERIA RIO PIEDRAS
CENT COM LOS FLAMBOYANES
SAN JUAN, PR
ZIP 00924
Phone: (178) 775-8156
Fax: (178) 775-8151

Mailing Address Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

OFFICE 12 65 INFANTERIA
CENT COM LOS FLAMBOYANES
SAN JUAN, PR
ZIP 00924
Phone: (178) 775-8156
Fax: (178) 775-8151

Taxonomies


The taxonomy code defines the provider type, classification, and specialization. For individual NPIs the license data is associated to the taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. License State Is Primary?
1261QD0000X Additional informationCallout TooltipTaxonomy Code - 261QD0000X


Ambulatory Health Care FacilitiesClinic/CenterDental864PRYes

Map Location


SERVICIOS ESPECIALIZADOS DE ORTODONCIA address is OFFICE 12 65 INFANTERIA RIO PIEDRAS CENT COM LOS FLAMBOYANES SAN JUAN, PR 00924 Get Directions