Suli V Massini, DMD
Individual provider Active NPI Dentist · Jayuya, PR
NPI 1881925402 · NPPES record last updated Jan 21, 2010
Key facts
- NPI
- 1881925402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 001539 (PR)
- Practice address
- 10 Calle Figueras
Esq.Vicens
Jayuya, PR 00664-0000 - Phone
- (787) 828-7716
- NPI assigned
- Jan 21, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 001539 | PR | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 001539 | PR | Yes |
Addresses
Primary practice location
10 Calle Figueras
Esq.Vicens
Jayuya, PR 00664-0000
Mailing address
J-21 Coin St
Villa Andalucia
San Juan, PR 00926-0000
Phone (787) 748-4463
Other providers in Jayuya, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 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.