Full Name | Corporation |
---|---|
Speciality | Dentist |
Location | Calle Morse #79, Arroyo, Puerto Rico |
Authorized Official Name and Position | Abigail Caraballs (DUENA) |
Authorized Official Contact | 7878397089 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Corporation Po Box 1180 Calle Morse #79 Arroyo PR 00714 Ph: (787) 839-7089 | Corporation Calle Morse #79 Arroyo PR 00714 Ph: (787) 839-7089 |
NPI Number | 1528283454 |
---|---|
Provider Enumeration Date | 04/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528283454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1674 (Puerto Rico) | Primary |
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