Provider Demographics
NPI:1033287230
Name:MOLINI, NOEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:
Last Name:MOLINI
Suffix:
Gender:M
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:REPARTO MENDOZA B3
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-3745
Mailing Address - Country:US
Mailing Address - Phone:787-850-2600
Mailing Address - Fax:787-850-7779
Practice Address - Street 1:REPARTO MENDOZA B3
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3745
Practice Address - Country:US
Practice Address - Phone:787-850-2600
Practice Address - Fax:787-850-7779
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4381223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics