Individual provider · Type 1 NPI
Ivette J. Rodriguez, DMD
Pediatric Dentistry · Humacao, PR
NPI number
1831150168
Active
Practice location
Ave Padre Rivera 10
Humacao, PR 00791
Fax (787) 852-3000
Mailing address
PO Box 9190
Humacao, PR 00792
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 934 (PR) |
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.
About NPI 1831150168
Ivette J. Rodriguez, DMD's National Provider Identifier is 1831150168, issued on Mar 28, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Humacao, PR. The record was last updated on Jun 13, 2014.