Active NPI
Glenda L. Rodriguez Aguiar, D.M.D.
- Pediatric Dentistry
- Manati, PR
National Provider Identifier
1093154460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 3211
- Practice address
- Manati Medical Plaza
1 Calle Jose Candelas Suite 208
Manati, PR 00674-5527 - Phone
- (787) 854-6478
- NPI assigned
- Jun 19, 2013
- Last updated
- Jan 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3211 | PR | |
| Pediatric Dentistry | 1223P0221X | 3211 | PR | Primary |
Addresses
Primary practice location
Manati Medical Plaza
1 Calle Jose Candelas Suite 208
Manati, PR 00674-5527
Mailing address
HC 1 Box 9354
Toa Baja, PR 00949-9769
Phone (787) 604-0343
Other practice location 1
10 Calle Padre Rivera W
Humacao, PR 00791-3699
Phone (787) 852-6729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3211 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sonrisas Para Peques LLC | Dentist | Current | Accepting new patients |
| Pediatric and Family Dental Group LLC | Dentist | Past | Accepting new patients |
Locations
1 Calle Jose Candelas
Ste 208
Manati, PR 00674
Phone (787) 854-6478
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatric Dentistry
- Manati, PR
- NPI 1144034919
-
- Pediatric Dentistry
- Orlando, FL
- NPI 1710388269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1093154460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 1 BOX 9354",
"city": "TOA BAJA",
"state": "PR",
"postal_code": "009499769",
"telephone_number": "787-604-0343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MANATI MEDICAL PLAZA",
"address_2": "1 CALLE JOSE CANDELAS SUITE 208",
"city": "MANATI",
"state": "PR",
"postal_code": "006745527",
"telephone_number": "787-854-6478"
}
],
"practiceLocations": [
{
"address_1": "10 Calle Padre Rivera W",
"address_purpose": "LOCATION",
"city": "Humacao",
"state": "PR",
"postal_code": "007913699",
"country_code": "US",
"telephone_number": "787-852-6729",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ AGUIAR",
"first_name": "GLENDA",
"middle_name": "L.",
"name_prefix": "Miss",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-19",
"last_updated": "2025-01-31",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PR",
"license": "3211",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "PR",
"license": "3211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.