CENTRO PERIODONTAL DEL ESTE,CSP – NPI #1912174699
Clinic/Center

CENTRO PERIODONTAL DEL ESTE,CSP is an AHC clinic located in HUMACAO, PR. NPPES has assigned the NPI number 1912174699 to CENTRO PERIODONTAL DEL ESTE,CSP on May 13, 2008. 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 CENTRO PERIODONTAL DEL ESTE,CSP below.

NPI Profile for
CENTRO PERIODONTAL DEL ESTE,CSP

NPI Number
1912174699
Enumeration Date

(more than 18 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
CENTRO PERIODONTAL DEL ESTE,CSP
Primary location
HUMACAO MEDICAL PLAZA AVE. FONT MARTELO
OFFIC 104
HUMACAO, PR 00791
Phone: (787) 852-4475 Fax: (787) 285-0632
Mailing address
53 CALLE FONT MARTELO E
OFICINA 104
HUMACAO, PR 00791
Phone: (787) 852-4475 Fax: (787) 285-0632
Organization Subpart
No
Authorized Official
RAFAEL HERNANDEZ
PRESIDENT
Phone: (787) 852-4475
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 2009

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.