Provider Demographics
NPI:1528168085
Name:MENA PEREZ, BELKIS E (DMD)
Entity type:Individual
Prefix:MRS
First Name:BELKIS
Middle Name:E
Last Name:MENA PEREZ
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 3 # N14 ROYAL TOWN
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4563
Mailing Address - Country:US
Mailing Address - Phone:787-727-2594
Mailing Address - Fax:787-727-2594
Practice Address - Street 1:CALLE LOIZA # 1915 ALTOS
Practice Address - Street 2:SANTURCE
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911
Practice Address - Country:US
Practice Address - Phone:787-727-2594
Practice Address - Fax:787-727-2594
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23961223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics