Provider Demographics
NPI:1912886730
Name:DENTAL4LIFE CARIBBEAN LLC
Entity type:Organization
Organization Name:DENTAL4LIFE CARIBBEAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DR
Authorized Official - Phone:787-433-7242
Mailing Address - Street 1:7 PASEO DEL VALLE
Mailing Address - Street 2:
Mailing Address - City:LAJAS
Mailing Address - State:PR
Mailing Address - Zip Code:00667-9009
Mailing Address - Country:US
Mailing Address - Phone:787-433-7242
Mailing Address - Fax:
Practice Address - Street 1:7 PASEO DEL VALLE
Practice Address - Street 2:
Practice Address - City:LAJAS
Practice Address - State:PR
Practice Address - Zip Code:00667-9009
Practice Address - Country:US
Practice Address - Phone:787-433-7242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty