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521 Calle Valcarcel Esq Carr 181 Sur San Juan PR 00923-3337 | |
| (787) 755-4347 | |
| (787) 250-8450 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 521 Calle Valcarcel, San Juan, Puerto Rico |
| Authorized Official Name and Position | Lidia M Guerrero (VICE-PRESIDENT) |
| Authorized Official Contact | 7877554347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 29736 San Juan PR 00929-0736 Ph: (787) 755-4347 | 521 Calle Valcarcel Esq Carr 181 Sur San Juan PR 00923-3337 Ph: (787) 755-4347 |
| NPI Number | 1548305626 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548305626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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