Provider Demographics
NPI:1699658450
Name:AMO ENDODONTICS LLC
Entity type:Organization
Organization Name:AMO ENDODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORTIZ JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-366-6567
Mailing Address - Street 1:35 CALLE JUAN C BORBON # 67-373
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5374
Mailing Address - Country:US
Mailing Address - Phone:787-366-6567
Mailing Address - Fax:
Practice Address - Street 1:DORAMAR PLAZA LOCAL B 265
Practice Address - Street 2:BO MAGUAYO CARR 659 INT CARR 693 KM 1.5
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-366-6567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental