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Centro De Endodoncia Y Periodoncia Del Caribe

Dentist, Periodontics in San Juan, PR. Organization (NPI-2).

NPI number1063660116
StatusActive
Last updated in NPPESSep 3, 2008

Details

NPI
1063660116
Entity type
Organization (NPI-2)
Legal business name
Centro De Endodoncia Y Periodoncia Del Caribe
Organization subpart
No
Enumeration date
Sep 3, 2008
Last updated
Sep 3, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics2712PRYes
1223E0200X Dentist, Endodontics2702PR

Practice location

735 Ave Ponce De Leon
Suite 504 Torre Del Auxilio Mutuo
San Juan, PR 00917-5022

Phone 787-607-6171

Mailing address

Calle Augusta #1627
Estancias De San Gerardo
San Juan, PR 00926

Phone 787-607-6171

Authorized official

Josean Martinez
President
7876076171

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Periodontics providers in San Juan, PR

All 28 Periodontics providers in San Juan · All 12,122 providers in San Juan

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