Active NPIIndividual providerSole proprietor

Dr. Edgardo E Olivencia, DMD

Dentist, Orthodontics and Dentofacial Orthopedics in Corozal, Puerto Rico

NPI Number1285710228
Practice location
Urb. Sanfeliz Calle 5 #2, Corozal, PR 00784
Fax
787-793-5539
Last updated
July 8, 2007

Edgardo E Olivencia is a Dentist, Orthodontics and Dentofacial Orthopedics based in Corozal, PR. Edgardo E Olivencia practices in Corozal, PR and has the professional credentials of DMD. The NPI Number for Edgardo E Olivencia is 1285710228 and holds a License No. 876 (PR). The current practice location address for Edgardo E Olivencia is Urb. Sanfeliz Calle 5 #2, Corozal, PR 00784 and can be reached out via phone at 787-859-4514 and via fax at 787-793-5539.

Provider Profile Details

NPI Number
1285710228
Provider Name
Edgardo E Olivencia
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Urb. Sanfeliz Calle 5 #2, Corozal, PR 00784
Phone Number
787-859-4514
Fax Number
787-793-5539
Sole Proprietor
Yes
Provider Enumeration Date
October 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Urb. Sanfeliz Calle 5 #2
Corozal, PR 00784
Zip
00784
Phone Number
787-859-4514
Fax Number
787-793-5539
Corozal, PR 00784Get directions →

Provider Business Mailing Address Details

Address
Florencia St. #e-12
Ext. Villa Caparra
Guaynabo, PR 00966
City
Guaynabo
State
PR
Zip
00966
Phone Number
787-793-7175
Fax Number
787-793-5539

License Information

License Number
876
License State
PR
Taxonomy
Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · 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. Edgardo E Olivencia, DMD?

The NPI number of Dr. Edgardo E Olivencia, DMD is 1285710228. It was assigned on October 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Edgardo E Olivencia, DMD?

Dr. Edgardo E Olivencia, DMD is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in PR under license number 876.

Where does Dr. Edgardo E Olivencia, DMD practice?

The practice location is Urb. Sanfeliz Calle 5 #2, Corozal, PR 00784. The office can be reached at 787-859-4514 (phone) or 787-793-5539 (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 1285710228 directly on the NPPES registry website.

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