Healthcare Provider Details

I. General information

NPI: 1861546210
Provider Name (Legal Business Name): ROBERTO GALINDEZ DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 AVE BARBOSA
CATANO PR
00962-4780
US

IV. Provider business mailing address

115 AVE BARBOSA
CATANO PR
00962-4780
US

V. Phone/Fax

Practice location:
  • Phone: 787-788-1276
  • Fax: 787-788-1276
Mailing address:
  • Phone: 787-788-1276
  • Fax: 787-788-1276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number1623
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: