Provider Demographics
NPI:1114184769
Name:DR. HECTOR L. SILEN BERRIOS
Entity Type:Organization
Organization Name:DR. HECTOR L. SILEN BERRIOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:L
Authorized Official - Last Name:SILEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-792-9410
Mailing Address - Street 1:22 CALLE GONZALEZ GIUSTI
Mailing Address - Street 2:SUITE 218
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3011
Mailing Address - Country:US
Mailing Address - Phone:787-792-0410
Mailing Address - Fax:787-792-0410
Practice Address - Street 1:22 CALLE GONZALEZ GIUSTI
Practice Address - Street 2:SUITE 218
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-3011
Practice Address - Country:US
Practice Address - Phone:787-792-0410
Practice Address - Fax:787-792-0410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR998122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty