Four Molar Psc | |
429 Calle Rey Luis La Villa De Torrimar Guaynabo PR 00969-3170 | |
(787) 786-8540 | |
(787) 995-0431 |
Full Name | Four Molar Psc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 429 Calle Rey Luis, Guaynabo, Puerto Rico |
Authorized Official Name and Position | Rafael E Ramirez Diaz (OWNER) |
Authorized Official Contact | 7877868540 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Four Molar Psc 429 Calle Rey Luis La Villa De Torrimar Guaynabo PR 00969-3170 Ph: (787) 786-8540 | Four Molar Psc 429 Calle Rey Luis La Villa De Torrimar Guaynabo PR 00969-3170 Ph: (787) 786-8540 |
NPI Number | 1164814042 |
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Provider Enumeration Date | 03/02/2015 |
Last Update Date | 03/02/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164814042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1997 (Puerto Rico) | Primary |
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