Organization
GRUPO DENTAL PEDIATRICO SAN JUAN CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YILDA M RIVERA I DMD (PRESIDENT)
(787) 753-1475
Entity
Organization
Contact information
Practice address
576 AVE CESAR GONZALEZ SUITE 307, GRUPO DENTAL PEDIATRICO DORAL BANK CENTER, SAN JUAN, PR 00918-0000
(787) 753-1405
(787) 753-1475
Mailing address
576 AVE CESAR GONZALEZ SUITE 307, GRUPO DENTAL PEDIATRICO DORAL BANK CENTER, SAN JUAN, PR 00918-0000
(787) 753-1405
(787) 753-1475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2767
PR
1223P0221X
Pediatric Dentistry
2472
PR
1223P0221X
Pediatric Dentistry
2841
PR
1223P0221X
Pediatric Dentistry
Primary
618
PR
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us