Active NPIIndividual provider

Dr. Edda L Bautista Perez, DMD

Dentist, General Practice in Juncos, Puerto Rico

NPI Number1043218183
Practice location
Calle Munoz Rivera #65, Juncos, PR 00777
Fax
—
Last updated
July 2, 2019

Edda Liz Bautista Perez is a Dentist, General Practice based in Juncos, PR. Edda Liz Bautista Perez practices in Juncos, PR and has the professional credentials of DMD. The NPI Number for Edda Liz Bautista Perez is 1043218183 and holds a License No. 34839 (TX). The current practice location address for Edda Liz Bautista Perez is Calle Munoz Rivera #65, Juncos, PR 00777 and can be reached out via phone at 787-713-9788.

Provider Profile Details

NPI Number
1043218183
Provider Name
Edda Liz Bautista Perez
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
Calle Munoz Rivera #65, Juncos, PR 00777
Phone Number
787-713-9788
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2005
Last Update Date
July 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle Munoz Rivera #65
Juncos, PR 00777
City
Juncos
Zip
00777
Phone Number
787-713-9788
Juncos, PR 00777Get directions →

Provider Business Mailing Address Details

Address
Po Box 1802
Juncos, PR 00777-1802
City
Juncos
State
PR
Zip
00777-1802
Phone Number
787-713-9788

License Information

License Number (1)
34839
License State (1)
TX
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
2438
License State (2)
PR
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

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

Other Dentist, General Practice providers near Juncos, PR

View all Dentist, General Practice providers in Juncos →

Frequently Asked Questions

What is the NPI number of Dr. Edda L Bautista Perez, DMD?

The NPI number of Dr. Edda L Bautista Perez, DMD is 1043218183. It was assigned on July 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Edda L Bautista Perez, DMD?

Dr. Edda L Bautista Perez, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in TX under license number 34839.

Where does Dr. Edda L Bautista Perez, DMD practice?

The practice location is Calle Munoz Rivera #65, Juncos, PR 00777. The office can be reached at 787-713-9788 (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 1043218183 directly on the NPPES registry website.

Browse related providers