| Clinica Dental Jireh | |
|
R14 Colina La Marquesa Urb Las Colinas Toa Baja PR 00949-4930 | |
| (787) 786-4133 | |
| Not Available |
| Full Name | Clinica Dental Jireh |
|---|---|
| Speciality | Dentist - General Practice |
| Location | R14 Colina La Marquesa, Toa Baja, Puerto Rico |
| Authorized Official Name and Position | Jose Berrios (ADMINISTRATOR) |
| Authorized Official Contact | 7877864133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dental Jireh Po Box 1435 Sabana Seca PR 00952 Ph: (787) 786-4133 | Clinica Dental Jireh R14 Colina La Marquesa Urb Las Colinas Toa Baja PR 00949-4930 Ph: (787) 786-4133 |
| NPI Number | 1881984854 |
|---|---|
| Provider Enumeration Date | 04/12/2011 |
| Last Update Date | 04/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881984854 | NPI | - | NPPES |
| 1902947294 | Other | PR | DRA LIVIA M CRUZ FELIX |
| 1821038191 | Other | PR | DR ANGEL I HERNANDEZ PEREZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2155 (Puerto Rico) | Primary |
| 1223G0001X | Dentist - General Practice | 2029 (Puerto Rico) | Secondary |
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