Active NPIIndividual providerSole proprietor

Dr. Luis C Iravedra, DMD

Dentist, General Practice in Toa Alta, Puerto Rico

NPI Number1760595334
Practice location
Calle 1 A2, Urb.san Fernando, Toa Alta, PR 00953-0000
Fax
—
Last updated
July 8, 2007

Luis C. Iravedra is a Dentist, General Practice based in Toa Alta, PR. Luis C. Iravedra practices in Toa Alta, PR and has the professional credentials of DMD. The NPI Number for Luis C. Iravedra is 1760595334 and holds a License No. 1632 (PR). The current practice location address for Luis C. Iravedra is Calle 1 A2, Urb.san Fernando, Toa Alta, PR 00953-0000 and can be reached out via phone at 787-870-2019.

Provider Profile Details

NPI Number
1760595334
Provider Name
Luis C. Iravedra
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Calle 1 A2, Urb.san Fernando, Toa Alta, PR 00953-0000
Phone Number
787-870-2019
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle 1 A2
Urb.san Fernando
Toa Alta, PR 00953-0000
Zip
00953-0000
Phone Number
787-870-2019
Toa Alta, PR 00953Get directions →

Provider Business Mailing Address Details

Address
P.o.box 1326
Toa Alta, PR 00954-0000
City
Toa Alta
State
PR
Zip
00954-0000
Phone Number
787-870-2019

License Information

License Number
1632
License State
PR
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Luis C Iravedra, DMD?

The NPI number of Dr. Luis C Iravedra, DMD is 1760595334. It was assigned on August 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Luis C Iravedra, DMD?

Dr. Luis C Iravedra, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 1632.

Where does Dr. Luis C Iravedra, DMD practice?

The practice location is Calle 1 A2, Urb.san Fernando, Toa Alta, PR 00953-0000. The office can be reached at 787-870-2019 (phone).

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 1760595334 directly on the NPPES registry website.

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