Provider Demographics
NPI:1376040170
Name:SLEEP APNEA DENTAL SOLUTIONS OF PUERTO RICO PSC
Entity Type:Organization
Organization Name:SLEEP APNEA DENTAL SOLUTIONS OF PUERTO RICO PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:787-851-5620
Mailing Address - Street 1:100 AVE PEDRO ALBIZU CAMPOS STE 111
Mailing Address - Street 2:
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-3339
Mailing Address - Country:US
Mailing Address - Phone:787-851-2365
Mailing Address - Fax:787-851-3458
Practice Address - Street 1:715 AVE. PONCE DE LEON, PARADA 37 1/2
Practice Address - Street 2:HOSPITAL AUXILIO MUTUO
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:787-771-7917
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SLEEP APNEA DENTAL SOLUTIONS OF PUERTO RICO PSC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-09
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty