CLINICA DENTAL MIRMAR INC – NPI #1063530111
Clinic/Center

CLINICA DENTAL MIRMAR INC is an AHC clinic located in NARANJITO, PR. NPPES has assigned the NPI number 1063530111 to CLINICA DENTAL MIRMAR INC on March 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLINICA DENTAL MIRMAR INC below.

NPI Profile for
CLINICA DENTAL MIRMAR INC

NPI Number
1063530111
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLINICA DENTAL MIRMAR INC
Primary location
120 CALLE GEORGETTI
NARANJITO, PR 00719-3011
Phone: (787) 869-2565 Fax: (787) 869-2471
Mailing address
PO BOX 165
NARANJITO, PR 00719-0165
Phone: (787) 869-2565 Fax: (787) 869-2471
Organization Subpart
No
Authorized Official
MIRELIS COLON
PRESIDENT
Phone: (787) 247-5851
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 PR 2675

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.