Healthcare Provider Details
I. General information
NPI: 1306775952
Provider Name (Legal Business Name): BCF DENTAL CANVAS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/18/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
COND. IBERIA I 554 ST SUITE LD
SAN JUAN PR
00920
US
IV. Provider business mailing address
URB. BUENA VISTA CALLE CALMA #1265
PONCE PR
00717
US
V. Phone/Fax
- Phone: 787-781-7330
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRYAN
CASTILLO FIGUEROA
Title or Position: OWNER/PRESIDENT
Credential: DMD
Phone: 787-922-9944