SAN PATRICIO DENTAL, LLC
NPI 1003168675
Dentist - Pediatric Dentistry in Guaynabo, PR

Active since October 08, 2012
101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 1210, GUAYNABO, PR 00968(787) 565-0134 Get Directions Write a Review

NPPES record last updated: October 8, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About San Patricio Dental, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN PATRICIO DENTAL, LLC (NPI 1003168675) is a healthcare organization registered as a pediatric dentistry in Guaynabo, Puerto Rico and active in the NPI registry since October 2012. The organization lists Anabelle M Mudafort, President, as its authorized official.

NPPES Registry Identity

NPI1003168675
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSAN PATRICIO DENTAL, LLC
Location Address101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 1210Guaynabo, PR 00968-2645
Mailing Address101 Ave San Patricio, Maramar Plaza Suite 1210Guaynabo, PR 00968-2645
Organization SubpartNo
Authorized OfficialAnabelle M MudafortPresident · (787) 565-0134
Enumeration DateOctober 8, 2012
NPI 1003168675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in PR · 2787
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 2808 (PR)
101 AVE SAN PATRICIO, Guaynabo, PR 00968

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 820
GUAYNABO, PR 00968
Clinic/Center (Dental)
101 AVE SAN PATRICIO, MARAMAR PLAZA STE. 830
GUAYNABO, PR 00968
Specialist
101 AVE SAN PATRICIO, STE 1150
GUAYNABO, PR 00968
Internal Medicine (Pulmonary Disease)
101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 1250
GUAYNABO, PR 00968
Exclusive Provider Organization
101 AVE SAN PATRICIO, MARAMAR PLAZA
GUAYNABO, PR 00968
Dentist (Periodontics)
101 AVE SAN PATRICIO, STE. 830
GUAYNABO, PR 00968
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 1090
GUAYNABO, PR 00968
Obstetrics & Gynecology
101 AVE SAN PATRICIO, MARAMAR PLAZA SUITE 1090
GUAYNABO, PR 00968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Patricio Dental, LLC's NPI number?

The NPI number for San Patricio Dental, LLC is 1003168675. It was assigned to this organization in the NPPES registry on October 8, 2012.

Where is San Patricio Dental, LLC located?

San Patricio Dental, LLC is located at 101 Ave San Patricio Maramar Plaza Suite 1210, Guaynabo, PR 00968. The listed phone number is (787) 565-0134.

What is San Patricio Dental, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for San Patricio Dental, LLC was last updated on October 8, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.