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DOMINGUEZ FAMILY DENTAL, CSP
NPI 1023713740
Dentist - General Practice in Guayama, PR

Active since April 03, 2023
CALLE SANTIAGO PALMER 24 SUR, N/A, GUAYAMA, PR 00784(787) 866-3631(787) 866-8690 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 15, 2023, Apr 3, 2023 (2 updates tracked since 2023).

About Dominguez Family Dental, Csp NPPES

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

DOMINGUEZ FAMILY DENTAL, CSP (NPI 1023713740) is a healthcare organization registered as a general practice in Guayama, Puerto Rico and active in the NPI registry since April 2023. The organization lists Ivelisse Dominguez Reveron, President, as its authorized official.

NPPES Registry Identity

NPI1023713740
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDOMINGUEZ FAMILY DENTAL, CSP
Location AddressCALLE SANTIAGO PALMER 24 SUR, N/AGuayama, PR 00784
Mailing AddressPo Box 623Guayama, PR 00785-0623 · (787) 866-3631 · Fax (787) 866-8690
Phone(787) 866-3631
Fax(787) 866-8690
Organization SubpartNo
Authorized OfficialIvelisse Dominguez ReveronPresident · (787) 678-7806
Enumeration DateApril 3, 2023
Last NPPES UpdateJune 15, 20232 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1023713740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dominguez Family Dental, Csp's NPI number?

The NPI number for Dominguez Family Dental, Csp is 1023713740. It was assigned to this organization in the NPPES registry on April 3, 2023.

Where is Dominguez Family Dental, Csp located?

Dominguez Family Dental, Csp is located at Calle Santiago Palmer 24 Sur N/A, Guayama, PR 00784. The listed phone number is (787) 866-3631.

What is Dominguez Family Dental, Csp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dominguez Family Dental, Csp was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.