Active NPIIndividual providerSole proprietor

Dr. Carlos A Izcoa, DMD

Dentist, Prosthodontics in Bayamon, Puerto Rico

NPI Number1639206253
Practice location
B9 Calle Santa Cruz, Bayamon, PR 00961-6902
Fax
787-288-5021
Last updated
March 14, 2016

Carlos Antonio Izcoa is a Dentist, Prosthodontics based in Bayamon, PR. Carlos Antonio Izcoa practices in Bayamon, PR and has the professional credentials of DMD. The NPI Number for Carlos Antonio Izcoa is 1639206253 and holds a License No. 2244 (PR). The current practice location address for Carlos Antonio Izcoa is B9 Calle Santa Cruz, Bayamon, PR 00961-6902 and can be reached out via phone at 787-798-1772 and via fax at 787-288-5021.

Provider Profile Details

NPI Number
1639206253
Provider Name
Carlos Antonio Izcoa
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
B9 Calle Santa Cruz, Bayamon, PR 00961-6902
Phone Number
787-798-1772
Fax Number
787-288-5021
Primary Taxonomy
Dentist, Prosthodontics · 1223P0700X
Sole Proprietor
Yes
Provider Enumeration Date
February 28, 2007
Last Update Date
March 14, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
B9 Calle Santa Cruz
Bayamon, PR 00961-6902
Zip
00961-6902
Phone Number
787-798-1772
Fax Number
787-288-5021
Bayamon, PR 00961Get directions →

Provider Business Mailing Address Details

Address
D9 Calle 1
Bayamon, PR 00961-6908
City
Bayamon
State
PR
Zip
00961-6908
Phone Number
787-798-1772

License Information

License Number
2244
License State
PR
Taxonomy
Dentist, Prosthodontics · 1223P0700X · 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. Carlos A Izcoa, DMD?

The NPI number of Dr. Carlos A Izcoa, DMD is 1639206253. It was assigned on February 28, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Carlos A Izcoa, DMD?

Dr. Carlos A Izcoa, DMD is registered under the primary taxonomy Dentist, Prosthodontics (code 1223P0700X), licensed in PR under license number 2244.

Where does Dr. Carlos A Izcoa, DMD practice?

The practice location is B9 Calle Santa Cruz, Bayamon, PR 00961-6902. The office can be reached at 787-798-1772 (phone) or 787-288-5021 (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 1639206253 directly on the NPPES registry website.

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