Active NPIIndividual provider

Modomi J Roman Lebron

Dental Assistant in Patillas, Puerto Rico

NPI Number1043736218
Practice location
99 Guillermo Riefkkohl St, Patillas, PR 00723-0072
Fax
787-839-4320
Last updated
June 16, 2018

Modomi J. Roman Lebron is a Dental Assistant based in Patillas, PR. Modomi J. Roman Lebron practices in Patillas, PR. The NPI Number for Modomi J. Roman Lebron is 1043736218 and holds a License No. 007527 (PR). The current practice location address for Modomi J. Roman Lebron is 99 Guillermo Riefkkohl St, Patillas, PR 00723-0072 and can be reached out via phone at 787-839-4320 and via fax at 787-839-4320.

Provider Profile Details

NPI Number
1043736218
Provider Name
Modomi J. Roman Lebron
Provider Entity Type
Individual
Gender
Male
Address
99 Guillermo Riefkkohl St, Patillas, PR 00723-0072
Phone Number
787-839-4320
Fax Number
787-839-4320
Primary Taxonomy
Dental Assistant · 126800000X
Sole Proprietor
No
Provider Enumeration Date
August 18, 2017
Last Update Date
June 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 Guillermo Riefkkohl St
Patillas, PR 00723-0072
Zip
00723-0072
Phone Number
787-839-4320
Fax Number
787-839-4320
Patillas, PR 00723Get directions →

Provider Business Mailing Address Details

Address
99 Guillermo Riefkohl Street
Patillas, PR 00723
City
Patillas
State
PR
Zip
00723
Phone Number
787-839-4320
Fax Number
787-271-0004

License Information

License Number
007527
License State
PR
Taxonomy
Dental Assistant · 126800000X · 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 Modomi J Roman Lebron?

The NPI number of Modomi J Roman Lebron is 1043736218. It was assigned on August 18, 2017 and is currently active in the NPPES registry.

What is the specialty of Modomi J Roman Lebron?

Modomi J Roman Lebron is registered under the primary taxonomy Dental Assistant (code 126800000X), licensed in PR under license number 007527.

Where does Modomi J Roman Lebron practice?

The practice location is 99 Guillermo Riefkkohl St, Patillas, PR 00723-0072. The office can be reached at 787-839-4320 (phone) or 787-839-4320 (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 1043736218 directly on the NPPES registry website.

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