Organization
EDGE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLLE CELESTE REYES MELENDEZ (PRESIDENT)
(787) 367-2067
Entity
Organization
Contact information
Practice address
1910 AVE JESUS T PINERO STE 103, SAN JUAN, PR 00921-1100
(787) 427-9211
Mailing address
1910 AVE JESUS T PINERO STE 103, SAN JUAN, PR 00921-1100
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
07/29/2025
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