Provider Demographics
NPI:1023223492
Name:MEREDIZ, MARGARITA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:MEREDIZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:556 CALLE MAXIMO GOMEZ
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-4331
Mailing Address - Country:US
Mailing Address - Phone:787-758-6082
Mailing Address - Fax:
Practice Address - Street 1:ANGEL L. ORTIZ A11 ESQ. CORCHADO
Practice Address - Street 2:URB. PARADIS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-3112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRD1364122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist