Active NPIOrganization

Grupo Dental Pediatrico San Juan Csp

Dentist, Pediatric Dentistry in San Juan, Puerto Rico

NPI Number1700299104
Practice location
576 Ave Cesar Gonzalez Suite 307, Grupo Dental Pediatrico Doral Bank Center, San Juan, PR 00918-0000
Fax
787-753-1475
Last updated
June 4, 2014

Grupo Dental Pediatrico San Juan Csp is a healthcare organization based in San Juan, PR. Grupo Dental Pediatrico San Juan Csp practices in San Juan, PR. The NPI Number for Grupo Dental Pediatrico San Juan Csp is 1700299104 and holds a License No. 2767 (PR). The current practice location address for Grupo Dental Pediatrico San Juan Csp is 576 Ave Cesar Gonzalez Suite 307, Grupo Dental Pediatrico Doral Bank Center, San Juan, PR 00918-0000 and can be reached out via phone at 787-753-1405 and via fax at 787-753-1475.

Provider Profile Details

NPI Number
1700299104
Provider Name
Grupo Dental Pediatrico San Juan Csp
Provider Entity Type
Organization
Address
576 Ave Cesar Gonzalez Suite 307, Grupo Dental Pediatrico Doral Bank Center, San Juan, PR 00918-0000
Phone Number
787-753-1405
Fax Number
787-753-1475
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Organization Subpart
No
Authorized Official
Mrs. Yilda M Rivera, DMD · President · 787-753-1475
Provider Enumeration Date
June 4, 2014
Last Update Date
June 4, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
576 Ave Cesar Gonzalez Suite 307
Grupo Dental Pediatrico Doral Bank Center
San Juan, PR 00918-0000
Zip
00918-0000
Phone Number
787-753-1405
Fax Number
787-753-1475
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
576 Ave Cesar Gonzalez Suite 307
Grupo Dental Pediatrico Doral Bank Center
San Juan, PR 00918-0000
City
San Juan
State
PR
Zip
00918-0000
Phone Number
787-753-1405
Fax Number
787-753-1475

License Information

License Number (1)
2767
License State (1)
PR
Taxonomy (1)
Dentist · 122300000X
License Number (2)
2472
License State (2)
PR
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (3)
2841
License State (3)
PR
Taxonomy (3)
Dentist, Pediatric Dentistry · 1223P0221X
License Number (4)
618
License State (4)
PR
Taxonomy (4)
Dentist, Pediatric Dentistry · 1223P0221X · 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 Grupo Dental Pediatrico San Juan Csp?

The NPI number of Grupo Dental Pediatrico San Juan Csp is 1700299104. It was assigned on June 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Grupo Dental Pediatrico San Juan Csp?

Grupo Dental Pediatrico San Juan Csp is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in PR under license number 2767.

Where does Grupo Dental Pediatrico San Juan Csp practice?

The practice location is 576 Ave Cesar Gonzalez Suite 307, Grupo Dental Pediatrico Doral Bank Center, San Juan, PR 00918-0000. The office can be reached at 787-753-1405 (phone) or 787-753-1475 (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 1700299104 directly on the NPPES registry website.

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