| Gnathos Surgical Group, Llc | |
|
Suite 305 Carolina Shopping Court Carolina PR 00985 | |
| (787) 641-4646 | |
| (787) 750-4646 |
| Full Name | Gnathos Surgical Group, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | Suite 305 Carolina Shopping Court, Carolina, Puerto Rico |
| Authorized Official Name and Position | Francisco L Bermudez (PRESIDENT) |
| Authorized Official Contact | 7872374418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gnathos Surgical Group, Llc Pmb 209 Po Box 70344 San Juan PR 00936-8344 Ph: (787) 641-4646 | Gnathos Surgical Group, Llc Suite 305 Carolina Shopping Court Carolina PR 00985 Ph: (787) 641-4646 |
| NPI Number | 1699074039 |
|---|---|
| Provider Enumeration Date | 03/24/2011 |
| Last Update Date | 05/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699074039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2070 (Puerto Rico) | Primary |
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