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Oficina Dental Los Dominicos, Psc — NPI 1962726984, Toa Baja, PR | NPI Central

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NPI 1962726984

OrganizationActive

Oficina Dental Los Dominicos, Psc

NPI 1962726984 · Preferred Provider Organization · Toa Baja, PR

Provider details

NPI number: 1962726984
Entity type: Organization
Primary specialty: Preferred Provider OrganizationManaged Care Organizations
Organization subpart: No
Authorized official: Edmarie De Jesus, Administrative(787) 784-0520
License: 2242 (PR)

Specialties & taxonomies

Preferred Provider OrganizationPrimary305R00000XLicense 2242 (PR)
Managed Care Organizations

Practice location

Ave Boulevard, Los Dominicos Shopping Center

Local 21 B , Levittown

Toa Baja, PR 00949-0000

Phone: (787) 784-0520

More PR providers

Mailing address

Ave Boulevard, Los Dominicos Shopping Center

Toa Baja, PR 00949-0000

Other names (DBA / former)

Former legal business name: Oficina Dental Los Dominicos

Registry dates

Enumerated: 2010-03-19
Last updated: 2010-03-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.