Provider Demographics
NPI:1073206017
Name:POB ORTHODONTICS, LLC
Entity Type:Organization
Organization Name:POB ORTHODONTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ORTIZ BACHIER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-922-3662
Mailing Address - Street 1:URB ALTO APOLO
Mailing Address - Street 2:77 CALLE ADONIS
Mailing Address - City:GUINABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-922-3662
Mailing Address - Fax:
Practice Address - Street 1:BO. ALGARROBO
Practice Address - Street 2:CARR. 155 KM 65.4
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-858-4443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty