| Clinica Dental Rafael J.gomez Matta Psc | |
|
57 Calle Degetau N Aibonito PR 00705-3613 | |
| (787) 735-3500 | |
| Not Available |
| Full Name | Clinica Dental Rafael J.gomez Matta Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 57 Calle Degetau N, Aibonito, Puerto Rico |
| Authorized Official Name and Position | Rafael Jose Gomez (PRESIDENT) |
| Authorized Official Contact | 7877353500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Dental Rafael J.gomez Matta Psc Po Box 2124 Aibonito PR 00705-2124 Ph: (787) 735-3500 | Clinica Dental Rafael J.gomez Matta Psc 57 Calle Degetau N Aibonito PR 00705-3613 Ph: (787) 735-3500 |
| NPI Number | 1730496548 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730496548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0721 (Puerto Rico) | Primary |
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