| Clinica Dental Dra Yeritza M Rodriguez Llc | |
|
Ave Jose Garrido Calle 15 N-27 Urb Santa Juana Ii Caguas PR 00725 | |
| (787) 732-0515 | |
| Not Available |
| Full Name | Clinica Dental Dra Yeritza M Rodriguez Llc |
|---|---|
| Speciality | Dentist |
| Location | Ave Jose Garrido Calle 15 N-27, Caguas, Puerto Rico |
| Authorized Official Name and Position | Yeritza M Rodriguez (OWNER) |
| Authorized Official Contact | 7874259111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dental Dra Yeritza M Rodriguez Llc Po Box 1777 Guaynabo PR 00970-1777 Ph: (787) 425-9111 | Clinica Dental Dra Yeritza M Rodriguez Llc Ave Jose Garrido Calle 15 N-27 Urb Santa Juana Ii Caguas PR 00725 Ph: (787) 732-0515 |
| NPI Number | 1457926545 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 09/29/2021 |
| Medicare PECOS PAC ID | 5597167031 |
|---|---|
| Medicare Enrollment ID | O20210707001147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457926545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Yeritza M Rodriguez Valle |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1811218472 PECOS PAC ID: 4688806870 Enrollment ID: I20140423000659 |
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