De la Rosa and Martinez Dentistry PLLC
Organization Active NPI General Practice Dentistry · San Benito, TX
NPI 1831550185 · NPPES record last updated Mar 15, 2016
Key facts
- NPI
- 1831550185
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- DE LA ROSA AND MARTINEZ DENTISTRY PLLC
- Practice address
- 985 S Sam Houston Blvd
San Benito, TX 78586-3064 - Phone
- (956) 399-4312
- Fax
- (956) 399-9337
- NPI assigned
- Mar 15, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Patricia De la Rosa
- Title
- Office Manager
- Phone
- (956) 399-4312
National Provider Directory
Locations
985 S Sam Houston Blvd
San Benito, TX 78586
Phone (956) 399-4312
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | TX | Yes |
Addresses
Primary practice location
985 S Sam Houston Blvd
San Benito, TX 78586-3064
Mailing address
985 S Sam Houston Blvd
San Benito, TX 78586-3064
Phone (956) 399-4312
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111234402 | Medicaid | TX | |
| 198199501 | Medicaid | TX | |
| 213449601 | Medicaid | TX | |
| 335402901 | Medicaid | TX |
Other providers in San Benito, TX
- Cutting Edge PHC, LLC
- Daily Blessing Home Care LLC
- Carol Lynn Daiser
- Dax Physical Medicine P C
- Sergio De la Garza
- Serapio De la Rosa Jr.
- Juan Manuel De Leon
- Velma L. De Leon
- Demetrius Deese
- Juanita Tamayo Deese
All providers in San Benito, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2016. 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.