Paola Marie Rodriguez Perez, DMD

Individual provider Active NPI General Practice Dentistry · Loiza, PR

NPI 1700570785 · NPPES record last updated Aug 1, 2024

Key facts

NPI
1700570785
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
3517 (PR)
Practice address
Carr 188
Loiza, PR 00772-1850
Phone
(787) 876-2042
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

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
3517PRMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3517 PR Yes

Addresses

Primary practice location

Carr 188
Loiza, PR 00772-1850

Mailing address

PO Box 749
Castaner, PR 00631-0749
Phone (787) 201-8273

Other providers in Loiza, PR

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

Sources for this page

Verify at the official NPI Registry.