MEDICARE: PRECISION PROSTHODONTICS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0700X	Prosthodontics

General Provider Information

NPI Number	:	1710826169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION PROSTHODONTICS PLLC

Provider Business Mailing Address
First Line	:	2431 PACIFIC PALM DR
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-3468
Country	:	US
Telephone Number	:	956-844-2957
Fax Number	:

Provider Business Practice Location Address
First Line	:	5344 E US HIGHWAY 83 STE 3
Second Line	:
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-9413
Country	:	US
Telephone Number	:	956-716-6055
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	JOSE MIGUEL GARCIA LOERA
Credential	:	DDS MS
Telephone Number	:	956-844-2957

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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