PERIO DEL SUR LLC
NPI 1689407785
Dentist - Periodontics in Ponce, PR
About Perio Del Sur Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERIO DEL SUR LLC (NPI 1689407785) is a healthcare organization registered as a periodontics in Ponce, Puerto Rico and active in the NPI registry since August 2024. The organization lists Diego E Rodes, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Perio Del Sur Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Perio Del Sur LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Perio Del Sur LLC's NPI number?
The NPI number for Perio Del Sur LLC is 1689407785. It was assigned to this organization in the NPPES registry on August 23, 2024.
Where is Perio Del Sur LLC located?
Perio Del Sur LLC is located at 909 Ave Tito Castro Ste 810, Ponce, PR 00716. The listed phone number is (787) 219-9032.
What is Perio Del Sur LLC's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.
Is Perio Del Sur LLC enrolled in Medicare?
Yes. Perio Del Sur LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Perio Del Sur LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Perio Del Sur LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Perio Del Sur LLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Perio Del Sur Llc · NPI 1689407785
Periodontics organization in Ponce, Puerto Rico. Organization record, active in the CMS NPPES registry since August 23, 2024.
## Identity
- **NPI:** 1689407785 (Entity type: Organization)
- **Enumerated:** August 23, 2024
- **Primary specialty:** Dentist - Periodontics · taxonomy 1223P0300X
- **Organization subpart:** No
- **Authorized official:** Diego Rodes, PRESIDENT
## Practice location
- **Address:** 909 AVE TITO CASTRO STE 810, Ponce, PR 00716-4725
- **Phone:** (787) 219-9032
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1689407785) · Data from the CMS NPPES public registry.