Javennys Marie Ayala Vazquez, DMD

Individual provider Active NPI General Practice Dentistry · Caguas, PR

NPI 1235997206 · NPPES record last updated Jul 22, 2025

Key facts

NPI
1235997206
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
003552 (PR)
Practice address
320 Gautier Benitez St.
Plaza del Carmen Mall, Suite 22
Caguas, PR 00725-7204
Phone
(787) 745-6220
NPI assigned
Mar 13, 2024
Sex
Female
Sole proprietor
Yes

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
003552PRMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 003552 PR Yes

Addresses

Primary practice location

320 Gautier Benitez St.
Plaza del Carmen Mall, Suite 22
Caguas, PR 00725-7204

Mailing address

Alturas Villa del Rey
F-52 Calle 34a
Caguas, PR 00727-6748
Phone (787) 210-2046

Other providers in Caguas, PR

All providers in Caguas, PR · General Practice Dentistry in Puerto Rico

Sources for this page

Verify at the official NPI Registry.