Organization
SRC DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOFIA ISABEL RODRIGUEZ DMD (OWNER)
(210) 838-8746
Entity
Organization
Contact information
Practice address
PLAZA DEL CARMEN MALL #24, 172 AV. PINO, CAGUAS, PR 00725
(787) 745-6220
Mailing address
15 CALLE MARSEILLES, CONDOMINIO LE RIVAGE, APT 7E, SAN JUAN, PR 00907
(210) 838-8746
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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