Active NPIIndividual providerSole proprietor

Dr. Jose Disla Pena, DMD

Dentist, Oral and Maxillofacial Surgery in Santurce, Puerto Rico

NPI Number1215006648
Practice location
185 Calle Delbrey, Santurce, PR 00911
Fax
787-724-4622
Last updated
July 8, 2007

Jose Disla Pena is a Dentist, Oral and Maxillofacial Surgery based in Santurce, PR. Jose Disla Pena practices in Santurce, PR and has the professional credentials of DMD. The NPI Number for Jose Disla Pena is 1215006648 and holds a License No. 1978 (PR). The current practice location address for Jose Disla Pena is 185 Calle Delbrey, Santurce, PR 00911 and can be reached out via phone at 787-725-1703 and via fax at 787-724-4622.

Provider Profile Details

NPI Number
1215006648
Provider Name
Jose Disla Pena
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
185 Calle Delbrey, Santurce, PR 00911
Phone Number
787-725-1703
Fax Number
787-724-4622
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
November 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
185 Calle Delbrey
Santurce, PR 00911
Zip
00911
Phone Number
787-725-1703
Fax Number
787-724-4622
Santurce, PR 00911Get directions →

Provider Business Mailing Address Details

Address
185 Calle Delbrey
Santurce, PR 00911
City
Santurce
State
PR
Zip
00911
Phone Number
787-725-1703
Fax Number
787-724-4622

License Information

License Number
1978
License State
PR
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 Dr. Jose Disla Pena, DMD?

The NPI number of Dr. Jose Disla Pena, DMD is 1215006648. It was assigned on November 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jose Disla Pena, DMD?

Dr. Jose Disla Pena, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in PR under license number 1978.

Where does Dr. Jose Disla Pena, DMD practice?

The practice location is 185 Calle Delbrey, Santurce, PR 00911. The office can be reached at 787-725-1703 (phone) or 787-724-4622 (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 1215006648 directly on the NPPES registry website.

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