| Centro De Endodoncia Y Periodoncia Del Caribe | |
|
735 Ave Ponce De Leon Suite 504 Torre Del Auxilio Mutuo San Juan PR 00917-5022 | |
| (787) 607-6171 | |
| Not Available |
| Full Name | Centro De Endodoncia Y Periodoncia Del Caribe |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 735 Ave Ponce De Leon, San Juan, Puerto Rico |
| Authorized Official Name and Position | Josean Martinez (PRESIDENT) |
| Authorized Official Contact | 7876076171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Endodoncia Y Periodoncia Del Caribe Calle Augusta #1627 Estancias De San Gerardo San Juan PR 00926 Ph: (787) 607-6171 | Centro De Endodoncia Y Periodoncia Del Caribe 735 Ave Ponce De Leon Suite 504 Torre Del Auxilio Mutuo San Juan PR 00917-5022 Ph: (787) 607-6171 |
| NPI Number | 1063660116 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 09/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063660116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 2702 (Puerto Rico) | Secondary |
| 1223P0300X | Dentist - Periodontics | 2712 (Puerto Rico) | Primary |
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