Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
TRUJILLO DENTAL CLINIC PSC
Active
Organization
TRUJILLO DENTAL CLINIC PSC
Active
Other names
TRUJILLO DENTAL CLINIC PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE VELAZQUEZ RAMON DMD (PRESIDENT)
(787) 755-3045
Entity
Organization
Contact information
Practice address
206 CALLE DR FERNANDEZ, 206 DR FERNANDEZ, TRUJILLO ALTO, PR 00976-5939
(787) 755-3045
(787) 292-0277
Mailing address
PO BOX 51597, PO BOX 51597, TOA BAJA, PR 00950-1597
(787) 755-3045
(787) 292-0277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0450
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083642029
NPI
PR
01
—
1114006079
NPI
PR
01
—
1164410619
NPI
PR
01
—
1184793374
NPI
PR
Enumeration date
07/21/2010
Last updated
02/21/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up