GRUPO DENTAL PEDIATRICO SAN JUAN CSP
NPI 1700299104
Dentist - Pediatric Dentistry in San Juan, PR

Active since June 04, 2014
576 AVE CESAR GONZALEZ SUITE 307, GRUPO DENTAL PEDIATRICO DORAL BANK CENTER, SAN JUAN, PR 00918(787) 753-1405(787) 753-1475 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grupo Dental Pediatrico San Juan Csp NPPES

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

GRUPO DENTAL PEDIATRICO SAN JUAN CSP (NPI 1700299104) is a healthcare organization registered as a pediatric dentistry in San Juan, Puerto Rico and active in the NPI registry since June 2014. The organization lists Yilda M Rivera, President, as its authorized official.

NPPES Registry Identity

NPI1700299104
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameGRUPO DENTAL PEDIATRICO SAN JUAN CSP
Location Address576 AVE CESAR GONZALEZ SUITE 307, GRUPO DENTAL PEDIATRICO DORAL BANK CENTERSan Juan, PR 00918-0000
Mailing Address576 Ave Cesar Gonzalez Suite 307, Grupo Dental Pediatrico Doral Bank CenterSan Juan, PR 00918-0000 · (787) 753-1405 · Fax (787) 753-1475
Fax(787) 753-1475
Organization SubpartNo
Authorized OfficialYilda M RiveraPresident · (787) 753-1475
Enumeration DateJune 4, 2014
NPI 1700299104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses Licensed in PR · 618 Licensed in PR · 2472 Licensed in PR · 2841
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.
Also ListedDentistTaxonomy 122300000X · License 2767 (PR)
576 AVE CESAR GONZALEZ SUITE 307, San Juan, PR 00918

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

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 Grupo Dental Pediatrico San Juan Csp's NPI number?

The NPI number for Grupo Dental Pediatrico San Juan Csp is 1700299104. It was assigned to this organization in the NPPES registry on June 4, 2014.

Where is Grupo Dental Pediatrico San Juan Csp located?

Grupo Dental Pediatrico San Juan Csp is located at 576 Ave Cesar Gonzalez Suite 307 Grupo Dental Pediatrico Doral Bank Center, San Juan, PR 00918. The listed phone number is (787) 753-1405.

What is Grupo Dental Pediatrico San Juan Csp'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 Grupo Dental Pediatrico San Juan Csp was last updated on June 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.