IndividualActive
Jose Disla Pena, DMD
NPI 1215006648 · Oral and Maxillofacial Surgery (Dentist) · Santurce, PR
Provider details
- NPI number
- 1215006648
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1978 (PR)
Specialties & taxonomies
Dental Providers
Practice location
185 Calle Delbrey
Santurce, PR 00911
Phone: (787) 725-1703
Fax: (787) 724-4622
Mailing address
185 Calle Delbrey
Santurce, PR 00911
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.