| Fhn Periodontics, Llc | |
|
201 Ave Domenech San Juan PR 00918-3505 | |
| (787) 753-1419 | |
| Not Available |
| Full Name | Fhn Periodontics, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 Ave Domenech, San Juan, Puerto Rico |
| Authorized Official Name and Position | Frances Michelle Herrero Nater (EMPLOYEE) |
| Authorized Official Contact | 7877531419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fhn Periodontics, Llc 201 Ave Domenech San Juan PR 00918-3505 Ph: (787) 753-1419 | Fhn Periodontics, Llc 201 Ave Domenech San Juan PR 00918-3505 Ph: (787) 753-1419 |
| NPI Number | 1467061150 |
|---|---|
| Provider Enumeration Date | 07/28/2020 |
| Last Update Date | 07/29/2020 |
| Medicare PECOS PAC ID | 6800280256 |
|---|---|
| Medicare Enrollment ID | O20220228002330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467061150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Frances Herrero |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578989042 PECOS PAC ID: 7618361064 Enrollment ID: I20220301002548 |
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