# DENTAL SERVICES ORGANIZATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801412010
- **Authorized official:** MRS. JOHANNA MORALES TORREO BSN (ADMINISTRADORA/APPEALS AND GRIEVANC)
- **Authorized official phone:** (787) 622-3000

## Contact information

- **Practice address:** CENTRO COMERCIAL PLAZA RIAL, CARR 185 KM 0.9, CANOVANAS, PR 00729
- **Practice address phone:** (787) 622-3000
- **Practice address fax:** (787) 620-5384
- **Mailing address:** PO BOX 71114, SAN JUAN, PR 00936-8014
- **Mailing address phone:** (787) 622-3000
- **Mailing address fax:** (787) 620-5384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | — |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |
| 302F00000X | Exclusive Provider Organization | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/23/2020
- **Last updated:** 07/14/2023