| Corozal Health Professional Services, Csp | |
|
Carr 159 # Km15.5 Corozal PR 00783-2903 | |
| (787) 600-4288 | |
| Not Available |
| Full Name | Corozal Health Professional Services, Csp |
|---|---|
| Speciality | Dentist |
| Location | Carr 159 # Km15.5, Corozal, Puerto Rico |
| Authorized Official Name and Position | Julia M Perez Marzan (PRESIDENTA) |
| Authorized Official Contact | 7876004288 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corozal Health Professional Services, Csp Hc 1 Box 3143 Corozal PR 00783-9407 Ph: (787) 600-4288 | Corozal Health Professional Services, Csp Carr 159 # Km15.5 Corozal PR 00783-2903 Ph: (787) 600-4288 |
| NPI Number | 1053977322 |
|---|---|
| Provider Enumeration Date | 05/13/2019 |
| Last Update Date | 04/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053977322 | NPI | - | NPPES |
| 1457490377 | Other | PR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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