San Juan Dental Center Llc

LBN: San Juan Dental Center Llc
San Juan Dental Center Llc is an health care organization with primary practice located at 456 Calle Cesar Gonzalez , San Juan PR 00918-2628. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. San Juan Dental Center Llc can be contacted via phone (787) 645-0089, or through Rodriguez, Rosa Maria via phone (787) 645-0089.

Contact Information

Primary practice address
456 Calle Cesar Gonzalez San Juan PR 00918-2628
Phone: (787) 645-0089
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rodriguez, Rosa Maria Doctor of Dental Medicine (DMD)
Phone: (787) 645-0089

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1083198576
LBN Legal business name San Juan Dental Center Llc
DBA Doing business as
Authorized official Rodriguez, Rosa Maria Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2018
Last updated Sep 20th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083198576 NPPES
Puerto Rico MEDICAID 582837989

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