Healthcare Provider Details

I. General information

NPI: 1447092234
Provider Name (Legal Business Name): BELMARI MENDEZ SANTIAGO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2024
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 CALLE MARTINEZ STE 1
JUNCOS PR
00777-3671
US

IV. Provider business mailing address

36 CALLE MARTINEZ STE 1
JUNCOS PR
00777-3671
US

V. Phone/Fax

Practice location:
  • Phone: 787-918-2703
  • Fax:
Mailing address:
  • Phone: 787-918-2703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3555
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: