PERIO DEL SUR LLC NPI 1689407785

NPI Information

  • NPI: 1689407785
  • Provider Name: PERIO DEL SUR LLC
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 909 AVE TITO CASTRO STE 810
    PONCE, PR
    ZIP 00716
  • Phone: (787) 219-9032

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NPI Details

PERIO DEL SUR LLC is a periodontics dentist in Ponce, 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. PERIO DEL SUR LLC NPI is 1689407785. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

909 AVE TITO CASTRO STE 810
PONCE, PR
ZIP 00716-725
Phone: (787) 219-9032

The provider's authorized official is Diego E Rodes .
The authorized official title is President and has the following contact phone number (787) 219-9032.

The enumeration date for this NPI number is 8/23/2024 and was last updated on 8/23/2024.

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 PracticeNo
21223P0300XDentistPeriodonticsYes

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: 11/21/2025

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