Otis Orthodontics Psc | |
A7 Urb San Antonio Humacao PR 00791 | |
(787) 285-5544 | |
Not Available |
Full Name | Otis Orthodontics Psc |
---|---|
Speciality | Clinic/center - Dental |
Location | A7 Urb San Antonio, Humacao, Puerto Rico |
Authorized Official Name and Position | Jose C Vicens (PRESIDENT) |
Authorized Official Contact | 7876336847 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Otis Orthodontics Psc Po Box 758 Humacao PR 00792-0758 Ph: (787) 285-5544 | Otis Orthodontics Psc A7 Urb San Antonio Humacao PR 00791 Ph: (787) 285-5544 |
NPI Number | 1609252121 |
---|---|
Provider Enumeration Date | 08/06/2015 |
Last Update Date | 08/06/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609252121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 2708 (Puerto Rico) | Primary |
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