Individual provider · Type 1 NPI

Benanette Medina, DMD

Pediatric Dentistry · San Juan, PR

NPI number 1629564240 Active

Practice location

Pineiro Ave, Plaza El Amal Oficina 211
San Juan, PR 00927-0092

Mailing address

PO Box 1810, Pmb 753
Mayaguez, PR 00680

Other practice locations

  • 215 Calle De La Candelaria, Mayaguez, PR 00682-3202 · (787) 234-3520

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X003329 (PR)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1629564240

Benanette Medina, DMD's National Provider Identifier is 1629564240, issued on Jul 6, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in San Juan, PR. The record was last updated on Mar 2, 2026.