Healthcare Provider Details

I. General information

NPI: 1265362602
Provider Name (Legal Business Name): GABRIELA RODRIGUEZ SANZO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KM 8.3 CALLE 3 AVENIDA 65 DE INFANTERIA
CAROLINA PR
00984
US

IV. Provider business mailing address

210 CALLE JOSE OLIVER APT 501
SAN JUAN PR
00918-2979
US

V. Phone/Fax

Practice location:
  • Phone: 787-757-1800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: