Healthcare Provider Details

I. General information

NPI: 1225152028
Provider Name (Legal Business Name): VICTOR DAVID BERNIER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE BARCELO # 53
MAUNABO PR
00707
US

IV. Provider business mailing address

URB SAN BENITO A-26
PATILLAS PR
00723
US

V. Phone/Fax

Practice location:
  • Phone: 787-861-2996
  • Fax: 787-861-1996
Mailing address:
  • Phone: 787-362-9823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number2764
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: