Denisha Marie Berrios Miranda, DMD

Individual provider Active NPI General Practice Dentistry · San Juan, PR

NPI 1053946244 · NPPES record last updated Sep 6, 2022

Key facts

NPI
1053946244
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
3355 (PR)
Practice address
Ave. San Claudio
#390
San Juan, PR 00926
Phone
(787) 748-2025
NPI assigned
Mar 8, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3355PRMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Del Parque Dental Center LLC General Practice Past
since Jan 14, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3355 PR Yes

Addresses

Primary practice location

Ave. San Claudio
#390
San Juan, PR 00926

Mailing address

HC 67 Box 15090
Bayamon, PR 00956-9510
Phone (787) 664-0935

Other practice location 1

100 Calle Saturnino Rodriguez
Yabucoa, PR 00767-3916
Phone (787) 893-0320

Other practice location 2

F14 Ave Degetau
Caguas, PR 00725-5839
Phone (787) 425-0885

Other providers in San Juan, PR

All providers in San Juan, PR · General Practice Dentistry in Puerto Rico

Sources for this page

Verify at the official NPI Registry.