CAVITY REPAIR LLC – NPI #1487011128
Clinic/Center

CAVITY REPAIR LLC is an AHC clinic located in HUMACAO, PR. NPPES has assigned the NPI number 1487011128 to CAVITY REPAIR LLC on January 26, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CAVITY REPAIR LLC below.

NPI Profile for
CAVITY REPAIR LLC

NPI Number
1487011128
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CAVITY REPAIR LLC
Primary location
PALMAS PLANTATION
122
HUMACAO, PR 00791-6022
Phone: (787) 515-7036 Fax: (787) 885-0560
Mailing address
122 PALMAS PLANTATION
TEE STREET
HUMACAO, PR 00791-6022
Phone: (787) 515-7136 Fax: (787) 885-0560
Organization Subpart
Yes - CAVITY REPAIR LLC is subpart of another organization.
Authorized Official
EDWIN LAFONTAINE
DENTIST
Phone: (787) 515-7036
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 PR 2080

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.