Active NPIOrganization

Ivanca Dental LLC

Dentist, General Practice in Vega Baja, Puerto Rico

NPI Number1366876096
Practice location
38-B Calle Betances, Vega Baja, PR 00693-4453
Fax
787-855-3996
Last updated
August 29, 2013

Ivanca Dental LLC is a healthcare organization based in Vega Baja, PR. Ivanca Dental LLC practices in Vega Baja, PR. The NPI Number for Ivanca Dental LLC is 1366876096 and holds a License No. 2777 (PR). The current practice location address for Ivanca Dental LLC is 38-B Calle Betances, Vega Baja, PR 00693-4453 and can be reached out via phone at 787-855-3996 and via fax at 787-855-3996.

Provider Profile Details

NPI Number
1366876096
Provider Name
Ivanca Dental LLC
Provider Entity Type
Organization
Address
38-B Calle Betances, Vega Baja, PR 00693-4453
Phone Number
787-855-3996
Fax Number
787-855-3996
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Tiara Nahir Otero, DMD · Dentist · 787-855-3996
Provider Enumeration Date
August 29, 2013
Last Update Date
August 29, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
38-B Calle Betances
Vega Baja, PR 00693-4453
Zip
00693-4453
Phone Number
787-855-3996
Fax Number
787-855-3996
Vega Baja, PR 00693Get directions →

Provider Business Mailing Address Details

Address
38-B Calle Betances
Vega Baja, PR 00693-4453
City
Vega Baja
State
PR
Zip
00693-4453
Phone Number
787-855-3996
Fax Number
787-855-3996

License Information

License Number
2777
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 Ivanca Dental LLC?

The NPI number of Ivanca Dental LLC is 1366876096. It was assigned on August 29, 2013 and is currently active in the NPPES registry.

What is the specialty of Ivanca Dental LLC?

Ivanca Dental LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 2777.

Where does Ivanca Dental LLC practice?

The practice location is 38-B Calle Betances, Vega Baja, PR 00693-4453. The office can be reached at 787-855-3996 (phone) or 787-855-3996 (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 1366876096 directly on the NPPES registry website.

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