Healthcare Provider Details

I. General information

NPI: 1780736520
Provider Name (Legal Business Name): ANABEL NORIEGA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 F D ROOSEVELT AVE SUITE 704 PLAZA LAS AMERICAS TOWER
SAN JUAN PR
00918
US

IV. Provider business mailing address

525 F D ROOSEVELT AVE SUITE 704 PLAZA LAS AMERICAS TOWER
SAN JUAN PR
00918
US

V. Phone/Fax

Practice location:
  • Phone: 787-767-1299
  • Fax: 787-753-4064
Mailing address:
  • Phone: 787-767-1299
  • Fax: 787-753-4064

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number1760
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: