Provider Demographics
NPI:1720825276
Name:ARENAS DENTAL CSP
Entity type:Organization
Organization Name:ARENAS DENTAL CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AGNES
Authorized Official - Middle Name:VANESSA
Authorized Official - Last Name:ARENAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-466-2822
Mailing Address - Street 1:URB CAUTIVA #68
Mailing Address - Street 2:CALLE ALMACIGOS
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-466-2822
Mailing Address - Fax:
Practice Address - Street 1:PLAZA DEL CARMEN MALL SUITE 22 CALLE GAUTIER BENITEZ IN
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-745-6220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty