NPI 1689819260

Dietrich Dental P.S.C

Organisation Health Maintenance Organization Guaynabo, PR

Practice location

Address: La Galeria Suchville 97 Carr 2 STE 208, Guaynabo, PR 00966
Phone: (787) 705-5063
Fax: (787) 705-5065
Mailing address: La Galeria Suchville 97 Carr. 2 Suite 208, Guaynabo, PR 00966

Authorised official

Name: Rene Dietrich-Trigo
Title: Dentist
Phone: (787) 705-5063

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 2179 (PR)

Other Health Maintenance Organization providers in Puerto Rico →

Registry record

NPI: 1689819260
Entity type: Organization
NPI issued: 10 Dec 2008
Record last updated: 10 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.