IndividualActive
Edgardo Olivencia, DMD
NPI 1285710228 · Orthodontics and Dentofacial Orthopedics Dentistry · Corozal, PR
Provider details
- NPI number
- 1285710228
- Entity type
- Individual
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 876 (PR)
Specialties & taxonomies
Dental Providers
Practice location
Urb. Sanfeliz Calle 5 #2
Corozal, PR 00784
Phone: (787) 859-4514
Fax: (787) 793-5539
Mailing address
Florencia St. #e-12
Guaynabo, PR 00966
Registry dates
- Enumerated
- 2006-10-31
- 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.