Active NPIOrganization

Penuelas Dental Team LLC

Clinic/Center, Dental in Penuelas, Puerto Rico

NPI Number1679976914
Practice location
628 Pedro Velazquez, Edificio Aurora 3B, Penuelas, PR 00624
Fax
787-836-1729
Last updated
October 1, 2014

Penuelas Dental Team LLC is a healthcare organization based in Penuelas, PR. Penuelas Dental Team LLC practices in Penuelas, PR. The NPI Number for Penuelas Dental Team LLC is 1679976914 and holds a License No. 2851 (PR). The current practice location address for Penuelas Dental Team LLC is 628 Pedro Velazquez, Edificio Aurora 3B, Penuelas, PR 00624 and can be reached out via phone at 787-836-3333 and via fax at 787-836-1729.

Provider Profile Details

NPI Number
1679976914
Provider Name
Penuelas Dental Team LLC
Provider Entity Type
Organization
Address
628 Pedro Velazquez, Edificio Aurora 3B, Penuelas, PR 00624
Phone Number
787-836-3333
Fax Number
787-836-1729
Primary Taxonomy
Clinic/Center, Dental · 261QD0000X
Organization Subpart
No
Authorized Official
Dr. Ivan Torres, DMD · President · 939-630-4102
Provider Enumeration Date
October 1, 2014
Last Update Date
October 1, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
628 Pedro Velazquez
Edificio Aurora 3B
Penuelas, PR 00624
Zip
00624
Phone Number
787-836-3333
Fax Number
787-836-1729
Penuelas, PR 00624Get directions →

Provider Business Mailing Address Details

Address
Po Box 801207
Coto Laurel
Ponce, PR 00780-1207
City
Ponce
State
PR
Zip
00780-1207
Phone Number
787-836-3333
Fax Number
787-836-1729

License Information

License Number
2851
License State
PR
Taxonomy
Clinic/Center, Dental · 261QD0000X · 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 Penuelas Dental Team LLC?

The NPI number of Penuelas Dental Team LLC is 1679976914. It was assigned on October 1, 2014 and is currently active in the NPPES registry.

What is the specialty of Penuelas Dental Team LLC?

Penuelas Dental Team LLC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in PR under license number 2851.

Where does Penuelas Dental Team LLC practice?

The practice location is 628 Pedro Velazquez, Edificio Aurora 3B, Penuelas, PR 00624. The office can be reached at 787-836-3333 (phone) or 787-836-1729 (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 1679976914 directly on the NPPES registry website.

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