Delta Dental of Puerto Rico Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

DELTA DENTAL OF PUERTO RICO INC

Practice address

Metro Office Park
14 Calle 2 Suite 200
Guaynabo, PR 00968-1735

Phone

(939) 205-3300

NPI assigned

Feb 4, 2025

Last updated

Feb 4, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Carmen B Pagan

Title

Qa Supervisor

Phone

(939) 260-6993

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1831903467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "METRO OFFICE PARK",
            "address_2": "14 CALLE 2 SUITE 200",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681735",
            "telephone_number": "939-205-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO OFFICE PARK",
            "address_2": "14 CALLE 2 SUITE 200",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009681735",
            "telephone_number": "939-205-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA DENTAL OF PUERTO RICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "PAGAN",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "QA SUPERVISOR",
        "authorized_official_telephone_number": "939-260-6993",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marycelys Delgado, R.D., L.N.D
• Marylois Delgado, SLP
• Nilka L Delgado
• David Efrain Deliz-Jimenez, MD
• Daniel Efrain Deliz
• Manuel F Deltoro, M.D.
• Eliodis Denis
• Dental Lab PR Corp
• Dermaspa LLC
• Livia C Devarie, MD

• Health Maintenance Organization in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.