Provider Demographics
NPI:1528112232
Name:BENDEZU, REGINA NORMA
Entity type:Individual
Prefix:
First Name:REGINA
Middle Name:NORMA
Last Name:BENDEZU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:EDIFICIO PUERTA DEL NORTE #22
Mailing Address - Street 2:SUITE 9
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674
Mailing Address - Country:US
Mailing Address - Phone:787-884-3407
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO PUERTA DEL NORTE #22
Practice Address - Street 2:SUITE 9
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-3407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice