Active NPIIndividual providerSole proprietor

Dr. Maritza Correa Agosto, DMD

Dentist, General Practice in San Juan, Puerto Rico

NPI Number1265539837
Practice location
667 Calle La Paz Ste 101, San Juan, PR 00907
Fax
787-723-9947
Last updated
January 16, 2024

Maritza Correa Agosto is a Dentist, General Practice based in San Juan, PR. Maritza Correa Agosto practices in San Juan, PR and has the professional credentials of DMD. The NPI Number for Maritza Correa Agosto is 1265539837 and holds a License No. 1509 (PR). The current practice location address for Maritza Correa Agosto is 667 Calle La Paz Ste 101, San Juan, PR 00907 and can be reached out via phone at 787-723-9947 and via fax at 787-723-9947.

Provider Profile Details

NPI Number
1265539837
Provider Name
Maritza Correa Agosto
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
667 Calle La Paz Ste 101, San Juan, PR 00907
Phone Number
787-723-9947
Fax Number
787-723-9947
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
September 17, 2006
Last Update Date
January 16, 2024
Certification Date
January 16, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
667 Calle La Paz Ste 101
San Juan, PR 00907
Zip
00907
Phone Number
787-723-9947
Fax Number
787-723-9947
San Juan, PR 00907Get directions →

Provider Business Mailing Address Details

Address
Po Box 368015
San Juan, PR 00936-8815
City
San Juan
State
PR
Zip
00936-8815
Phone Number
787-378-3599

License Information

License Number
1509
License State
PR
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 Dr. Maritza Correa Agosto, DMD?

The NPI number of Dr. Maritza Correa Agosto, DMD is 1265539837. It was assigned on September 17, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Maritza Correa Agosto, DMD?

Dr. Maritza Correa Agosto, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 1509.

Where does Dr. Maritza Correa Agosto, DMD practice?

The practice location is 667 Calle La Paz Ste 101, San Juan, PR 00907. The office can be reached at 787-723-9947 (phone) or 787-723-9947 (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 1265539837 directly on the NPPES registry website.

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