Natalia A Castro

Individual provider Active NPI General Practice Dentistry · Coamo, PR

NPI 1760122469 · NPPES record last updated Jul 22, 2024

Key facts

NPI
1760122469
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
3494 (PR)
Practice address
San Blas Dental
21 Calle Jose I Quinton
Coamo, PR 00769-2466
Phone
(787) 825-8585
NPI assigned
Mar 30, 2022
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
3494PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
San Blas Dental LLC Current
since Jul 28, 2024
Accepting new patients

Locations

21 Calle Jose I Quinton
Coamo, PR 00769
Phone (787) 825-8585

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3494 PR Yes
Student in an Organized Health Care Education/Training Program 390200000X NY

Addresses

Primary practice location

San Blas Dental
21 Calle Jose I Quinton
Coamo, PR 00769-2466

Mailing address

San Blas Dental
21 Calle Jose I Quinton
Coamo, PR 00769-2466
Phone (787) 825-8585

Other providers in Coamo, PR

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

Sources for this page

Verify at the official NPI Registry.