# SRC DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588518336
- **Authorized official:** DR. SOFIA ISABEL RODRIGUEZ DMD (OWNER)
- **Authorized official phone:** (210) 838-8746

## Contact information

- **Practice address:** PLAZA DEL CARMEN MALL \#24, 172 AV. PINO, CAGUAS, PR 00725
- **Practice address phone:** (787) 745-6220
- **Mailing address:** 15 CALLE MARSEILLES, CONDOMINIO LE RIVAGE, APT 7E, SAN JUAN, PR 00907
- **Mailing address phone:** (210) 838-8746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 02/26/2026
- **Last updated:** 02/26/2026