Centro Medico Dental Del Noreste | |
Carr.3 Km 19.6 Canovanas PR 00729 | |
(787) 792-2850 | |
(787) 749-0406 |
Full Name | Centro Medico Dental Del Noreste |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | Carr.3, Canovanas, Puerto Rico |
Authorized Official Name and Position | David Santiago (PRESIDENT) |
Authorized Official Contact | 7875253946 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Centro Medico Dental Del Noreste 1311 Americo Miranda Ave San Juan PR 00921-2118 Ph: (787) 792-2850 | Centro Medico Dental Del Noreste Carr.3 Km 19.6 Canovanas PR 00729 Ph: (787) 792-2850 |
NPI Number | 1447465042 |
---|---|
Provider Enumeration Date | 05/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447465042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 1520 (Puerto Rico) | Primary |
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