MEDICARE: DR. RAUL BONET RODRIGUEZ D.M.D.

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	786	PR

General Provider Information

NPI Number	:	1487708509
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAUL BONET RODRIGUEZ D.M.D.

Provider Business Mailing Address
First Line	:	683 CALLE ACUARIO
Second Line	:	URB. VENUS GARDENS
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4814
Country	:	US
Telephone Number	:	787-760-5165
Fax Number	:	787-748-2910

Provider Business Practice Location Address
First Line	:	683 CALLE ACUARIO
Second Line	:	URB. VENUS GARDENS
City	:	SAN JUAN
State	:	PR
Zip	:	00926-4814
Country	:	US
Telephone Number	:	787-760-5165
Fax Number	:	787-748-2910

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	03/09/2024

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