Active NPIIndividual provider

Dr. Ivan Sandoval, DMD

Dentist, General Practice in Bayamon, Puerto Rico

NPI Number1881690535
Practice location
Aq-34 Santa Juanita, Ave. Laurel, Bayamon, PR 00956
Fax
787-785-9054
Last updated
December 23, 2008

Ivan Sandoval is a Dentist, General Practice based in Bayamon, PR. Ivan Sandoval practices in Bayamon, PR and has the professional credentials of DMD. The NPI Number for Ivan Sandoval is 1881690535 and holds a License No. 2002 (PR). The current practice location address for Ivan Sandoval is Aq-34 Santa Juanita, Ave. Laurel, Bayamon, PR 00956 and can be reached out via phone at 787-798-6227 and via fax at 787-785-9054.

Provider Profile Details

NPI Number
1881690535
Provider Name
Ivan Sandoval
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
Aq-34 Santa Juanita, Ave. Laurel, Bayamon, PR 00956
Phone Number
787-798-6227
Fax Number
787-785-9054
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2005
Last Update Date
December 23, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
Aq-34 Santa Juanita
Ave. Laurel
Bayamon, PR 00956
Zip
00956
Phone Number
787-798-6227
Fax Number
787-785-9054
Bayamon, PR 00956Get directions →

Provider Business Mailing Address Details

Address
Panoramavillage
#180 Vista Del Mar
Bayamon, PR 00957
City
Bayamon
State
PR
Zip
00957
Phone Number
787-730-4449
Fax Number
787-785-9054

License Information

License Number
2002
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. Ivan Sandoval, DMD?

The NPI number of Dr. Ivan Sandoval, DMD is 1881690535. It was assigned on June 27, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivan Sandoval, DMD?

Dr. Ivan Sandoval, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 2002.

Where does Dr. Ivan Sandoval, DMD practice?

The practice location is Aq-34 Santa Juanita, Ave. Laurel, Bayamon, PR 00956. The office can be reached at 787-798-6227 (phone) or 787-785-9054 (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 1881690535 directly on the NPPES registry website.

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