Perio del Sur LLC
NPI 1689407785ActiveOrganization· Dentist, Periodontics· Ponce, PR
Dentist, Periodontics in Ponce, Puerto Rico, registered in NPPES in August 2024. The authorized official on file is Diego E. Rodes, DDS, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1689407785 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 23, 2024 |
| Last updated in NPPES | Aug 23, 2024 |
| Certified by provider | Aug 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | — | — |
| Dentist, General Practice | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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