Active NPIIndividual provider

Diego G Iravedra, DMD

Dentist in San Juan, Puerto Rico

NPI Number1689758534
Practice location
124 Winston Churchill, Suite 3 Crown Hill, San Juan, PR 00918
Fax
787-765-8196
Last updated
July 8, 2007

Diego G Iravedra is a Dentist based in San Juan, PR. Diego G Iravedra practices in San Juan, PR and has the professional credentials of DMD. The NPI Number for Diego G Iravedra is 1689758534 and holds a License No. 1558 (PR). The current practice location address for Diego G Iravedra is 124 Winston Churchill, Suite 3 Crown Hill, San Juan, PR 00918 and can be reached out via phone at 787-765-8176 and via fax at 787-765-8196.

Provider Profile Details

NPI Number
1689758534
Provider Name
Diego G Iravedra
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
124 Winston Churchill, Suite 3 Crown Hill, San Juan, PR 00918
Phone Number
787-765-8176
Fax Number
787-765-8196
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
October 25, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
124 Winston Churchill
Suite 3 Crown Hill
San Juan, PR 00918
Zip
00918
Phone Number
787-765-8176
Fax Number
787-765-8196
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
212 La Hija Del Caribe Los Maestros
San Juan, PR 00918
City
San Juan
State
PR
Zip
00918
Phone Number
787-765-8176
Fax Number
787-765-8176

License Information

License Number
1558
License State
PR
Taxonomy
Dentist · 122300000X · 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 Diego G Iravedra, DMD?

The NPI number of Diego G Iravedra, DMD is 1689758534. It was assigned on October 25, 2006 and is currently active in the NPPES registry.

What is the specialty of Diego G Iravedra, DMD?

Diego G Iravedra, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in PR under license number 1558.

Where does Diego G Iravedra, DMD practice?

The practice location is 124 Winston Churchill, Suite 3 Crown Hill, San Juan, PR 00918. The office can be reached at 787-765-8176 (phone) or 787-765-8196 (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 1689758534 directly on the NPPES registry website.

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