Provider Demographics
NPI:1841496635
Name:VANHARTINGSVELDT, ROBBERT (DMD)
Entity type:Individual
Prefix:
First Name:ROBBERT
Middle Name:
Last Name:VANHARTINGSVELDT
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 1:234 CARR 2
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-1913
Mailing Address - Country:US
Mailing Address - Phone:787-793-8185
Mailing Address - Fax:787-793-8185
Practice Address - Street 1:234 CARR 2
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-1913
Practice Address - Country:US
Practice Address - Phone:787-793-8185
Practice Address - Fax:787-793-8185
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR014971223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics