| Src Dental | |
|
Plaza Del Carmen Mall #24, 172 Av. Pino Caguas PR 00725 | |
| (787) 745-6220 | |
| Not Available |
| Full Name | Src Dental |
|---|---|
| Speciality | Dentist |
| Location | Plaza Del Carmen Mall #24, 172 Av. Pino, Caguas, Puerto Rico |
| Authorized Official Name and Position | Sofia Isabel Rodriguez (OWNER) |
| Authorized Official Contact | 2108388746 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Src Dental 15 Calle Marseilles, Condominio Le Rivage, Apt 7e San Juan PR 00907 Ph: (210) 838-8746 | Src Dental Plaza Del Carmen Mall #24, 172 Av. Pino Caguas PR 00725 Ph: (787) 745-6220 |
| NPI Number | 1588518336 |
|---|---|
| Provider Enumeration Date | 02/26/2026 |
| Last Update Date | 02/26/2026 |
| Certification Date | 02/23/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588518336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
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