David Enrique Bernier, D.M.D.
Individual provider Active NPI Dentist · Guaynabo, PR
NPI 1609170299 · NPPES record last updated Dec 22, 2010
Key facts
- NPI
- 1609170299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2651 (PR)
- Practice address
- 1353 Ave Luis Vigoreaux
Guaynabo, PR 00966-2715 - Phone
- (787) 598-1778
- NPI assigned
- Dec 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2651 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DB Dental Group LLC | Dentist | Current | Accepting new patients |
Locations
1353 Ave Luis Vigoreaux
Guaynabo, PR 00966
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2651 | PR | Yes |
Addresses
Primary practice location
1353 Ave Luis Vigoreaux
Guaynabo, PR 00966-2715
Mailing address
PMB 491
1353 Ave. Luis Vigoreaux
Guaynabo, PR 00966
Phone (787) 598-1778
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002651 | Other | PR | NUMERO DE LICENCIA |
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.