Healthcare Provider Details

I. General information

NPI: 1528112232
Provider Name (Legal Business Name): REGINA NORMA BENDEZU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 01/22/2025
Certification Date: 01/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIFICIO PUERTA DEL NORTE #22 SUITE 9
MANATI PR
00674
US

IV. Provider business mailing address

EDIFICIO PUERTA DEL NORTE #22 SUITE 9
MANATI PR
00674
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-3407
  • Fax:
Mailing address:
  • Phone: 787-884-3407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2233
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: