| Cr Diaz Bonilla Dentista Pediatrica Psc | |
|
51 Ave San Jose Suite 203 Aibonito PR 00705 | |
| (787) 735-0575 | |
| (787) 735-2390 |
| Full Name | Cr Diaz Bonilla Dentista Pediatrica Psc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 51 Ave San Jose, Aibonito, Puerto Rico |
| Authorized Official Name and Position | Carem Rosa Diaz (PRINCIPAL) |
| Authorized Official Contact | 7874470892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cr Diaz Bonilla Dentista Pediatrica Psc E28 Calle 14 Urb Quintas De Cupey San Juan PR 00926 Ph: (787) 735-0575 | Cr Diaz Bonilla Dentista Pediatrica Psc 51 Ave San Jose Suite 203 Aibonito PR 00705 Ph: (787) 735-0575 |
| NPI Number | 1255707568 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255707568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2334 (Puerto Rico) | Primary |
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Centro Avanzado De Odontologia Estetica,csp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 165 Calle Baldorioty N, Aibonito, PR 00705 Phone: 787-735-1741 Fax: 787-735-1741 | |
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