Provider Demographics
NPI:1205921723
Name:CENTRO ORTODONTICO DEL NORTE
Entity type:Organization
Organization Name:CENTRO ORTODONTICO DEL NORTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSSY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-884-7321
Mailing Address - Street 1:REPARTO MEJIAS # 1007
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-884-7321
Mailing Address - Fax:787-884-7321
Practice Address - Street 1:REPARTO MEJIAS # 1007
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-7321
Practice Address - Fax:787-884-7321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty