Active NPIIndividual provider

Melisa Polhamus Lopez, DMD

Dentist, General Practice in Cidra, Puerto Rico

NPI Number1942487905
Practice location
Carr 172 Km 13.5, Ave El Jibaro, Cidra, PR 00739
Fax
—
Last updated
January 29, 2015

Melisa Polhamus Lopez is a Dentist, General Practice based in Cidra, PR. Melisa Polhamus Lopez practices in Cidra, PR and has the professional credentials of DMD. The NPI Number for Melisa Polhamus Lopez is 1942487905 and holds a License No. 2791 (PR). The current practice location address for Melisa Polhamus Lopez is Carr 172 Km 13.5, Ave El Jibaro, Cidra, PR 00739 and can be reached out via phone at 787-739-8182.

Provider Profile Details

NPI Number
1942487905
Provider Name
Melisa Polhamus Lopez
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
Carr 172 Km 13.5, Ave El Jibaro, Cidra, PR 00739
Phone Number
787-739-8182
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
January 22, 2008
Last Update Date
January 29, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
Carr 172 Km 13.5
Ave El Jibaro
Cidra, PR 00739
City
Cidra
Zip
00739
Phone Number
787-739-8182
Cidra, PR 00739Get directions →

Provider Business Mailing Address Details

Address
Po Box 1863
Guaynabo, PR 00970-1863
City
Guaynabo
State
PR
Zip
00970-1863
Phone Number
787-615-1937

License Information

License Number (1)
2791
License State (1)
PR
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
DN 20315
License State (2)
FL
Taxonomy (2)
Dentist, General Practice · 1223G0001X

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 Melisa Polhamus Lopez, DMD?

The NPI number of Melisa Polhamus Lopez, DMD is 1942487905. It was assigned on January 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Melisa Polhamus Lopez, DMD?

Melisa Polhamus Lopez, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in PR under license number 2791.

Where does Melisa Polhamus Lopez, DMD practice?

The practice location is Carr 172 Km 13.5, Ave El Jibaro, Cidra, PR 00739. The office can be reached at 787-739-8182 (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 1942487905 directly on the NPPES registry website.

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