Active NPIIndividual provider

Dr. Rene D Juan, DDM

Dentist in Moca, Puerto Rico

NPI Number1003804857
Practice location
65 Calle Pedro Santos, Suite 3, Moca, PR 00676-4015
Fax
787-877-5865
Last updated
July 13, 2026

Rene David Juan is a Dentist based in Moca, PR. Rene David Juan practices in Moca, PR and has the professional credentials of DDM. The NPI Number for Rene David Juan is 1003804857 and holds a License No. 001133 (PR). The current practice location address for Rene David Juan is 65 Calle Pedro Santos, Suite 3, Moca, PR 00676-4015 and can be reached out via phone at 787-877-5865 and via fax at 787-877-5865.

Provider Profile Details

NPI Number
1003804857
Provider Name
Rene David Juan
Credential
DDM
Provider Entity Type
Individual
Gender
Male
Address
65 Calle Pedro Santos, Suite 3, Moca, PR 00676-4015
Phone Number
787-877-5865
Fax Number
787-877-5865
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 6, 2005
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 Calle Pedro Santos
Suite 3
Moca, PR 00676-4015
City
Moca
Zip
00676-4015
Phone Number
787-877-5865
Fax Number
787-877-5865
Moca, PR 00676Get directions →

Provider Business Mailing Address Details

Address
65 Calle Pedro Santos
Suite 3
Moca, PR 00676-4015
City
Moca
State
PR
Zip
00676-4015
Phone Number
787-877-5865
Fax Number
787-877-5865

License Information

License Number (1)
001133
License State (1)
PR
Taxonomy (1)
Dentist · 122300000X · Primary
License Number (2)
0011826
License State (2)
FL
Taxonomy (2)
Dentist · 122300000X

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 Dr. Rene D Juan, DDM?

The NPI number of Dr. Rene D Juan, DDM is 1003804857. It was assigned on October 6, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Rene D Juan, DDM?

Dr. Rene D Juan, DDM is registered under the primary taxonomy Dentist (code 122300000X), licensed in PR under license number 001133.

Where does Dr. Rene D Juan, DDM practice?

The practice location is 65 Calle Pedro Santos, Suite 3, Moca, PR 00676-4015. The office can be reached at 787-877-5865 (phone) or 787-877-5865 (fax).

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 1003804857 directly on the NPPES registry website.

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