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LICDENTALANDMEDICALCSP
NPI 1164706297
Dentist - General Practice in Canovanas, PR

Active since October 07, 2011
PALMER/HERNAIZ AVE ST #74, STE 2, CANOVANAS, PR 00729(787) 256-3115 Get Directions Write a Review

NPPES record last updated: October 7, 2011. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Licdentalandmedicalcsp NPPES

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

LICDENTALANDMEDICALCSP (NPI 1164706297) is a healthcare organization registered as a general practice in Canovanas, Puerto Rico and active in the NPI registry since October 2011. The organization lists Luis Iturrino, President, as its authorized official.

NPPES Registry Identity

NPI1164706297
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLICDENTALANDMEDICALCSP
Location AddressPALMER/HERNAIZ AVE ST #74, STE 2Canovanas, PR 00729-1617
Mailing AddressPo Box 1617, CanovanasCanovanas, PR 00729-1617 · (787) 256-3115
Phone(787) 256-3115
Organization SubpartNo
Authorized OfficialLuis IturrinoPresident · (787) 256-3115
Enumeration DateOctober 7, 2011
✔ NPI 1164706297 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 Licdentalandmedicalcsp's NPI number?

The NPI number for Licdentalandmedicalcsp is 1164706297. It was assigned to this organization in the NPPES registry on October 7, 2011.

Where is Licdentalandmedicalcsp located?

Licdentalandmedicalcsp is located at Palmer/Hernaiz Ave St #74 Ste 2, Canovanas, PR 00729. The listed phone number is (787) 256-3115.

What is Licdentalandmedicalcsp'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 Licdentalandmedicalcsp was last updated on October 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.