IndividualActive
Carlos Izcoa, D.M.D.
NPI 1639206253 · Prosthodontics · Bayamon, PR
Provider details
- NPI number
- 1639206253
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2244 (PR)
Specialties & taxonomies
Dental Providers
Practice location
B9 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone: (787) 798-1772
Fax: (787) 288-5021
Mailing address
D9 Calle 1
Bayamon, PR 00961-6908
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2016-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.