Provider Demographics
NPI:1205728920
Name:RESTORE SKIN AND SMILE CENTER LLC
Entity type:Organization
Organization Name:RESTORE SKIN AND SMILE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:RODRIGUEZ MONROIG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:939-407-1374
Mailing Address - Street 1:213 HACIENDA LA MONSERRATE CALLE GORRION
Mailing Address - Street 2:C5
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-600-6806
Mailing Address - Fax:
Practice Address - Street 1:4 CALLE COMERCIO
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:PR
Practice Address - Zip Code:00677-2201
Practice Address - Country:US
Practice Address - Phone:939-407-1374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty