OrganizationActive
Idental Center, Psc
NPI 1912200908 · Oral and Maxillofacial Surgery (Dentist) · Yabucoa, PR
Provider details
- NPI number
- 1912200908
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Maria Gomez, Manager(787) 266-3140
- License
- 2673 (PR)
Specialties & taxonomies
Dental Providers
Practice location
A5 Street 1
Urbanizacion Villa Hilda
Yabucoa, PR 00767
Phone: (787) 266-3140
Mailing address
Po Box 1198
Las Piedras, PR 00771-1198
Registry dates
- Enumerated
- 2010-12-13
- Last updated
- 2010-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.