| Golden Surgical Llc | |
|
Urb Montanez A 11 Bayamon PR 00957 | |
| (787) 269-7900 | |
| Not Available |
| Full Name | Golden Surgical Llc |
|---|---|
| Speciality | Dentist |
| Location | Urb Montanez A 11, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Efrain Montanez Morales (PRESIDENT) |
| Authorized Official Contact | 7872697900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Surgical Llc Po Box 3172 Bayamon PR 00960-3172 Ph: (787) 269-7900 | Golden Surgical Llc Urb Montanez A 11 Bayamon PR 00957 Ph: (787) 269-7900 |
| NPI Number | 1164198933 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Medicare PECOS PAC ID | 0042698474 |
|---|---|
| Medicare Enrollment ID | O20220525003024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164198933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Efrain Emanuel Montanez Morales |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1750707832 PECOS PAC ID: 2769711639 Enrollment ID: I20190903001901 |
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