OrganizationActive
Licdentalandmedicalcsp
NPI 1164706297 · General Practice Dentistry · Canovanas, PR
Licdentalandmedicalcsp is a General Practice Dentistry organization in Canovanas, PR (NPI 1164706297).
Provider details
- NPI number
- 1164706297
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Luis Iturrino, President(787) 256-3115
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Palmer/Hernaiz Ave St #74
Ste 2
Canovanas, PR 00729-1617
Phone: (787) 256-3115
Mailing address
Po Box 1617
Canovanas, PR 00729-1617
Registry dates
- Enumerated
- 2011-10-07
- Last updated
- 2011-10-07
Frequently asked questions
- What is Licdentalandmedicalcsp's NPI number?
- Licdentalandmedicalcsp's National Provider Identifier (NPI) is 1164706297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Licdentalandmedicalcsp?
- Licdentalandmedicalcsp is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Licdentalandmedicalcsp located?
- Licdentalandmedicalcsp's practice location on file with NPPES is Palmer/Hernaiz Ave St #74, Canovanas, PR 00729-1617.
- What is Licdentalandmedicalcsp's phone number?
- The practice phone number listed in the NPPES registry for Licdentalandmedicalcsp is (787) 256-3115.
- Who is the authorized official for Licdentalandmedicalcsp?
- The authorized official listed on Licdentalandmedicalcsp's NPPES record is Luis Iturrino, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Licdentalandmedicalcsp's NPI active?
- Yes — Licdentalandmedicalcsp's NPI (1164706297) is active in the NPPES registry as of the last update on 2011-10-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.