Cavity Repair LLC
Clinic/Center, Dental in Humacao, Puerto Rico
1487011128- Practice location
- Palmas Plantation, 122, Humacao, PR 00791-6022
- Phone
- 787-515-7036
- Fax
- 787-885-0560
- Last updated
- January 26, 2016
Cavity Repair LLC is a healthcare organization based in Humacao, PR. Cavity Repair LLC practices in Humacao, PR. The NPI Number for Cavity Repair LLC is 1487011128 and holds a License No. 2080 (PR). The current practice location address for Cavity Repair LLC is Palmas Plantation, 122, Humacao, PR 00791-6022 and can be reached out via phone at 787-515-7036 and via fax at 787-885-0560.
Provider Profile Details
- NPI Number
- 1487011128
- Provider Name
- Cavity Repair LLC
- Provider Entity Type
- Organization
- Address
- Palmas Plantation, 122, Humacao, PR 00791-6022
- Phone Number
- 787-515-7036
- Fax Number
- 787-885-0560
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- Yes
- Parent Organization
- Cavity Repair LLC
- Authorized Official
- Mr. Edwin E Lafontaine, DMD · Dentist · 787-515-7036
- Provider Enumeration Date
- January 26, 2016
- Last Update Date
- January 26, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Palmas Plantation
122
Humacao, PR 00791-6022 - City
- Humacao
- State
- Puerto Rico
- Zip
- 00791-6022
- Phone Number
- 787-515-7036
- Fax Number
- 787-885-0560
Provider Business Mailing Address Details
- Address
- 122 Palmas Plantation
Tee Street
Humacao, PR 00791-6022 - City
- Humacao
- State
- PR
- Zip
- 00791-6022
- Phone Number
- 787-515-7136
- Fax Number
- 787-885-0560
License Information
- License Number
- 2080
- License State
- PR
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Cavity Repair LLC?
The NPI number of Cavity Repair LLC is 1487011128. It was assigned on January 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Cavity Repair LLC?
Cavity Repair LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in PR under license number 2080.
Where does Cavity Repair LLC practice?
The practice location is Palmas Plantation, 122, Humacao, PR 00791-6022. The office can be reached at 787-515-7036 (phone) or 787-885-0560 (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 1487011128 directly on the NPPES registry website.