# DELTA DENTAL OF PUERTO RICO INC

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

## Provider details

- **NPI number:** 1831903467
- **Authorized official:** MRS. CARMEN B PAGAN (QA SUPERVISOR)
- **Authorized official phone:** (939) 260-6993

## Contact information

- **Practice address:** METRO OFFICE PARK, 14 CALLE 2 SUITE 200, GUAYNABO, PR 00968-1735
- **Practice address phone:** (939) 205-3300
- **Mailing address:** METRO OFFICE PARK, 14 CALLE 2 SUITE 200, GUAYNABO, PR 00968-1735
- **Mailing address phone:** (939) 205-3300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/04/2025
- **Last updated:** 02/04/2025