Delta Dental Of Puerto Rico INC
Health Maintenance Organization in Guaynabo, PR. Organization (NPI-2).
NPI number1831903467
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1831903467
- Entity type
- Organization (NPI-2)
- Legal business name
- Delta Dental Of Puerto Rico INC
- Organization subpart
- No
- Enumeration date
- Feb 4, 2025
- Certification date
- Jan 30, 2025
- Last updated
- Feb 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
Practice location
Metro Office Park14 Calle 2 Suite 200
Guaynabo, PR 00968-1735
Phone 939-205-3300
Mailing address
Metro Office Park14 Calle 2 Suite 200
Guaynabo, PR 00968-1735
Phone 939-205-3300
Authorized official
Carmen B Pagan
Qa Supervisor
9392606993
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