Active NPIOrganization

San Patricio Dental, LLC

Dentist, Pediatric Dentistry in Guaynabo, Puerto Rico

NPI Number1003168675
Practice location
101 Ave San Patricio, Maramar Plaza Suite 1210, Guaynabo, PR 00968-2645
Fax
—
Last updated
October 8, 2012

San Patricio Dental, LLC is a healthcare organization based in Guaynabo, PR. San Patricio Dental, LLC practices in Guaynabo, PR. The NPI Number for San Patricio Dental, LLC is 1003168675 and holds a License No. 2808 (PR). The current practice location address for San Patricio Dental, LLC is 101 Ave San Patricio, Maramar Plaza Suite 1210, Guaynabo, PR 00968-2645 and can be reached out via phone at 787-565-0134.

Provider Profile Details

NPI Number
1003168675
Provider Name
San Patricio Dental, LLC
Provider Entity Type
Organization
Address
101 Ave San Patricio, Maramar Plaza Suite 1210, Guaynabo, PR 00968-2645
Phone Number
787-565-0134
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Dr. Anabelle M Mudafort, DMD · President · 787-565-0134
Provider Enumeration Date
October 8, 2012
Last Update Date
October 8, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 Ave San Patricio
Maramar Plaza Suite 1210
Guaynabo, PR 00968-2645
Zip
00968-2645
Phone Number
787-565-0134
Guaynabo, PR 00968Get directions →

Provider Business Mailing Address Details

Address
101 Ave San Patricio
Maramar Plaza Suite 1210
Guaynabo, PR 00968-2645
City
Guaynabo
State
PR
Zip
00968-2645

License Information

License Number (1)
2808
License State (1)
PR
Taxonomy (1)
Dentist, Endodontics · 1223E0200X
License Number (2)
2787
License State (2)
PR
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of San Patricio Dental, LLC?

The NPI number of San Patricio Dental, LLC is 1003168675. It was assigned on October 8, 2012 and is currently active in the NPPES registry.

What is the specialty of San Patricio Dental, LLC?

San Patricio Dental, LLC is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in PR under license number 2808.

Where does San Patricio Dental, LLC practice?

The practice location is 101 Ave San Patricio, Maramar Plaza Suite 1210, Guaynabo, PR 00968-2645. The office can be reached at 787-565-0134 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003168675 directly on the NPPES registry website.

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