CRISTOBAL PORTUGAL DDS
NPI 1043745623
Dentist in Tijuana, BAJA CALIFORNIA

Active since April 20, 2017
GOBERNADOR LUGO 9531, STE 4, TIJUANA, BAJA CALIFORNIA 22044(664) 200-2617(866) 272-6924 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cristobal Portugal Dds NPPES

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

CRISTOBAL PORTUGAL DDS (NPI 1043745623) is a healthcare organization registered as a dentist in Tijuana, BAJA CALIFORNIA and active in the NPI registry since April 2017. The organization lists Cristobal Portugal, Dentist, as its authorized official.

NPPES Registry Identity

NPI1043745623
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCRISTOBAL PORTUGAL
Location AddressGOBERNADOR LUGO 9531, STE 4Tijuana, BAJA CALIFORNIA 22044
Mailing Address4275 Executive Sq, Ste 200La Jolla, CA 92037-9123 · (619) 488-3200 · Fax (866) 272-6924
Fax(866) 272-6924
Organization SubpartNo
Authorized OfficialCristobal PortugalDentist · (619) 488-3200
Enumeration DateApril 20, 2017
NPI 1043745623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in ZZ · 2868480
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

GOBERNADOR LUGO 9531, Tijuana, BAJA CALIFORNIA 22044

Other Names 1

Doing Business AsCristobal Portugal Dds

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

The NPI number assigned to this healthcare provider is 1043745623, enumerated as an "organization" on April 20, 2017.

The provider is located at GOBERNADOR LUGO 9531 STE 4 TIJUANA, BAJA CALIFORNIA 22044 and the phone number is (664) 200-2617.

Dentist with taxonomy code 122300000X.