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TRUJILLO DENTAL CLINIC PSC NPI 1104139914


NPI Information

NPI: 1104139914
Provider Name: TRUJILLO DENTAL CLINIC PSC

Doing Business As: TRUJILLO DENTAL CLINIC PSC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
206 CALLE DR FERNANDEZ
206 DR FERNANDEZ
TRUJILLO ALTO, PR
ZIP 00976
Phone: (787) 755-3045
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TRUJILLO DENTAL CLINIC PSC is a general practice dentist in Trujillo Alto, PR. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. TRUJILLO DENTAL CLINIC PSC NPI is 1104139914. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Trujillo Dental Clinic Psc.

The provider's business location address is:

206 CALLE DR FERNANDEZ
206 DR FERNANDEZ
TRUJILLO ALTO, PR
ZIP 00976-939
Phone: (787) 755-3045
Fax: (787) 292-0277

The provider's authorized official is Jorge Velazquez Ramon .
The authorized official title is President and has the following contact phone number (787) 755-3045.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 2/21/2012.


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
11223G0001XDentistGeneral Practice0450PUERTO RICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11114006079OTHERPUERTO RICONPI
21083642029OTHERPUERTO RICONPI
31184793374OTHERPUERTO RICONPI
41164410619OTHERPUERTO RICONPI

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: 5/5/2024

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