Active NPIOrganization

Licdentalandmedicalcsp

Dentist, General Practice in Canovanas, Puerto Rico

NPI Number1164706297
Practice location
Palmer/Hernaiz Ave St #74, Ste 2, Canovanas, PR 00729-1617
Fax
—
Last updated
October 7, 2011

Licdentalandmedicalcsp is a healthcare organization based in Canovanas, PR. Licdentalandmedicalcsp practices in Canovanas, PR. The NPI Number for Licdentalandmedicalcsp is 1164706297. The current practice location address for Licdentalandmedicalcsp is Palmer/Hernaiz Ave St #74, Ste 2, Canovanas, PR 00729-1617 and can be reached out via phone at 787-256-3115.

Provider Profile Details

NPI Number
1164706297
Provider Name
Licdentalandmedicalcsp
Provider Entity Type
Organization
Address
Palmer/Hernaiz Ave St #74, Ste 2, Canovanas, PR 00729-1617
Phone Number
787-256-3115
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Luis Iturrino · President · 787-256-3115
Provider Enumeration Date
October 7, 2011
Last Update Date
October 7, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
Palmer/Hernaiz Ave St #74
Ste 2
Canovanas, PR 00729-1617
Zip
00729-1617
Phone Number
787-256-3115
Canovanas, PR 00729Get directions →

Provider Business Mailing Address Details

Address
Po Box 1617
Canovanas
Canovanas, PR 00729-1617
City
Canovanas
State
PR
Zip
00729-1617
Phone Number
787-256-3115

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · 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 Licdentalandmedicalcsp?

The NPI number of Licdentalandmedicalcsp is 1164706297. It was assigned on October 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Licdentalandmedicalcsp?

Licdentalandmedicalcsp is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Licdentalandmedicalcsp practice?

The practice location is Palmer/Hernaiz Ave St #74, Ste 2, Canovanas, PR 00729-1617. The office can be reached at 787-256-3115 (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 1164706297 directly on the NPPES registry website.

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