Provider Demographics
NPI:1376865949
Name:RETEGUIS, ROCIO L (DMD)
Entity Type:Individual
Prefix:DR
First Name:ROCIO
Middle Name:L
Last Name:RETEGUIS
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:H9 CALLE NORUEGA
Mailing Address - Street 2:OASIS GARDENS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-3417
Mailing Address - Country:US
Mailing Address - Phone:787-410-5110
Mailing Address - Fax:
Practice Address - Street 1:H9 CALLE NORUEGA
Practice Address - Street 2:OASIS GARDENS
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3417
Practice Address - Country:US
Practice Address - Phone:787-410-5110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0548001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice