Healthcare Provider Details

I. General information

NPI: 1285557785
Provider Name (Legal Business Name): DBM DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 AVE ORTEGON STE 305
GUAYNABO PR
00966-2520
US

IV. Provider business mailing address

HC 67 BOX 15090
BAYAMON PR
00956-9510
US

V. Phone/Fax

Practice location:
  • Phone: 787-664-0935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DENISHA MARIE BERRIOS MIRANDA
Title or Position: SOLE MEMBER
Credential: DMD
Phone: 787-664-0935