Provider Demographics
NPI:1285613810
Name:O'CONNOR, VIOLETA (RDH)
Entity type:Individual
Prefix:MRS
First Name:VIOLETA
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 SABANERA DEL RIO
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778
Mailing Address - Country:US
Mailing Address - Phone:787-729-4344
Mailing Address - Fax:
Practice Address - Street 1:COMMANDING OFFICER 5 CALLE LA PUNTILLA
Practice Address - Street 2:USCG SECTOR SAN JUAN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901
Practice Address - Country:US
Practice Address - Phone:787-729-4344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist