MEDICARE: TOOTH PLACE PSJA, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1245890300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOOTH PLACE PSJA, PLLC

Provider Business Mailing Address
First Line	:	300 LORENALY DR
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78526-4060
Country	:	US
Telephone Number	:	956-542-9200
Fax Number	:	888-418-0123

Provider Business Practice Location Address
First Line	:	826 W US HIGHWAY 83
Second Line	:
City	:	SAN JUAN
State	:	TX
Zip	:	78589-2139
Country	:	US
Telephone Number	:	956-542-9200
Fax Number	:

Authorized Official
Title or Position	:	DDS
Name	:	DR. SHELLY SLOVAK MARTINEZ
Credential	:
Telephone Number	:	956-542-9200

Provider Enumeration Date	:	06/19/2019
Last Update Date	:	06/19/2019

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1689659088 — DR. JOSE R. COLON PEREZ MD
Practice Location Address:

1420 CALLE AMERICO SALAS , STE 202
SAN JUAN, PR
00909-2139

Practice Phone: 787-723-2202
Practice Fax: 787-723-1955

1639143480 — MR. FEDERICO RODRIGUEZ PEREZ MD
Practice Location Address:

1420 CALLE AMERICO SALAS , SUITE 303
SAN JUAN, PR
00909-2139

Practice Phone: 787-919-7865
Practice Fax: 787-919-7868

1467657551 — DR. ELCA REIMER M.D.
Practice Location Address:

A4 CALLE ARISTIDES CHAVIER , VILLA PRADES
SAN JUAN, PR
00924-2139

Practice Phone: 787-765-6128
Practice Fax:

1750655510 — UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Practice Location Address:

U20 CALLE JASPER , PARK GARDENS URB.
SAN JUAN, PR
00926-2139

Practice Phone: 787-759-8252
Practice Fax:

1780049650 — EDUARDO JOEL HERNANDEZ M.D.
Practice Location Address:

1418 CALLE AMERICO SALAS
SAN JUAN, PR
00909-2139

Practice Phone: 787-523-6944
Practice Fax:

Directions to “TOOTH PLACE PSJA, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.