SAN JUAN DENTAL CENTER LLC
NPI 1083198576
Dentist - Pediatric Dentistry in San Juan, PR

Active since September 20, 2018
456 CALLE CESAR GONZALEZ, SAN JUAN, PR 00918(787) 645-0089 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Juan Dental Center Llc NPPES

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

SAN JUAN DENTAL CENTER LLC (NPI 1083198576) is a healthcare organization registered as a pediatric dentistry in San Juan, Puerto Rico and active in the NPI registry since September 2018. The organization maintains a secondary practice location in San Juan and lists Rosa Maria Rodriguez, Doctor, as its authorized official.

NPPES Registry Identity

NPI1083198576
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSAN JUAN DENTAL CENTER LLC
Location Address456 CALLE CESAR GONZALEZSan Juan, PR 00918-2628
Mailing Address456 Calle Cesar GonzalezSan Juan, PR 00918-2628 · (787) 645-0089
Organization SubpartNo
Authorized OfficialRosa Maria RodriguezDoctor · (787) 645-0089
Enumeration DateSeptember 20, 2018
NPI 1083198576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.

Secondary Practice Location 1

Location 1456 Calle Cesar GonzalezSan Juan, PR 00918-2628 · Phone (787) 645-0089

Other Identifiers 1

Medicaid582837989PR

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

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

Dentist
456 CALLE CESAR GONZALEZ
SAN JUAN, PR 00918

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 Juan Dental Center LLC's NPI number?

The NPI number for San Juan Dental Center LLC is 1083198576. It was assigned to this organization in the NPPES registry on September 20, 2018.

Where is San Juan Dental Center LLC located?

San Juan Dental Center LLC is located at 456 Calle Cesar Gonzalez, San Juan, PR 00918. The listed phone number is (787) 645-0089.

What is San Juan Dental Center 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 Juan Dental Center LLC was last updated on September 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.