CENTRO DE ENDODONCIA Y PERIODONCIA DEL CARIBE NPI 1063660116

NPI Information

NPI: 1063660116
Provider Name: CENTRO DE ENDODONCIA Y PERIODONCIA DEL CARIBE
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
735 AVE PONCE DE LEON
SUITE 504 TORRE DEL AUXILIO MUTUO
SAN JUAN, PR
ZIP 00917
Phone: (787) 607-6171
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CENTRO DE ENDODONCIA Y PERIODONCIA DEL CARIBE is a periodontics dentist in San Juan, PR. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CENTRO DE ENDODONCIA Y PERIODONCIA DEL CARIBE NPI is 1063660116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

735 AVE PONCE DE LEON
SUITE 504 TORRE DEL AUXILIO MUTUO
SAN JUAN, PR
ZIP 00917-022
Phone: (787) 607-6171

The provider's authorized official is Josean Martinez .
The authorized official title is President and has the following contact phone number (787) 607-6171.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 9/3/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223E0200X	Dentist	Endodontics	2702	PUERTO RICO	No
2	1223P0300X	Dentist	Periodontics	2712	PUERTO RICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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