Provider Demographics
NPI:1639199185
Name:RIGAU, CARLOS A (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:A
Last Name:RIGAU
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:PO BOX 3596
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-6596
Mailing Address - Country:US
Mailing Address - Phone:787-852-6852
Mailing Address - Fax:787-850-0720
Practice Address - Street 1:61 CALLE ANTONIO LOPEZ S STE 1
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-4262
Practice Address - Country:US
Practice Address - Phone:787-852-6852
Practice Address - Fax:787-852-0031
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice