Provider Demographics
NPI:1447301098
Name:ROVIRA VECCHINI, PATRICIA (DMD)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:ROVIRA VECCHINI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 AVE LA CEIBA
Mailing Address - Street 2:ROVIRA OFFICE PARK, SUITE 101
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1902
Mailing Address - Country:US
Mailing Address - Phone:787-844-7500
Mailing Address - Fax:787-844-7880
Practice Address - Street 1:623 AVE LA CEIBA
Practice Address - Street 2:ROVIRA OFFICE PARK, SUITE 101
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1902
Practice Address - Country:US
Practice Address - Phone:787-844-7500
Practice Address - Fax:787-844-7880
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21111223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice