IRENE BANUCHI ORTHODONTIST – NPI #1679618011
Clinic/Center

IRENE BANUCHI ORTHODONTIST is an AHC clinic located in GUAYNABO, PR. NPPES has assigned the NPI number 1679618011 to IRENE BANUCHI ORTHODONTIST on February 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IRENE BANUCHI ORTHODONTIST” is a dba name, the actual legal business name for this organization is IBG PSC. 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

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 IRENE BANUCHI ORTHODONTIST below.

NPI Profile for
IBG PSC

NPI Number
1679618011
Enumeration Date

(more than 19 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
IBG PSC
Doing Business As (dba): IRENE BANUCHI ORTHODONTIST
Primary location
SUITE 202A,
107 AVE. GONZALEZ GUISTI
GUAYNABO, PR 00966
Phone: (787) 707-1977 Fax:
Mailing address
22 CALLE J
VILLA CAPARRA
GUAYNABO, PR 00966-2203
Phone: (787) 397-3644 Fax:
Organization Subpart
No
Authorized Official
IRENE BANUCHI
PRESIDENT
Phone: (787) 707-1977
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 PR1927

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.