| Bajalu, Llc | |
|
1005 Ave General Ramey Ste 1 San Antonio PR 00690-1109 | |
| (787) 510-0912 | |
| Not Available |
| Full Name | Bajalu, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1005 Ave General Ramey Ste 1, San Antonio, Puerto Rico |
| Authorized Official Name and Position | Rafael A. Gavilanes (VICE-PRESIDENTE) |
| Authorized Official Contact | 7875100912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bajalu, Llc Po Box 784 San Antonio PR 00690-0784 Ph: (787) 510-0912 | Bajalu, Llc 1005 Ave General Ramey Ste 1 San Antonio PR 00690-1109 Ph: (787) 510-0912 |
| NPI Number | 1144813551 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 03/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144813551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Fdg Servicios Dentales, Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Avenida General Ramey #22, San Antonio, PR 00690 Phone: 787-890-4106 |