| Gq Dental Clinic P.s.c. | |
|
Marina Plaza Suite 16 Barrio Rincon Gurabo PR 00778-0961 | |
| (787) 737-3505 | |
| Not Available |
| Full Name | Gq Dental Clinic P.s.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Marina Plaza Suite 16, Gurabo, Puerto Rico |
| Authorized Official Name and Position | Guillermo Quinones Sierra (PRESIDENT) |
| Authorized Official Contact | 7876470070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gq Dental Clinic P.s.c. Po Box 961 Gurabo PR 00778-0961 Ph: (787) 647-0070 | Gq Dental Clinic P.s.c. Marina Plaza Suite 16 Barrio Rincon Gurabo PR 00778-0961 Ph: (787) 737-3505 |
| NPI Number | 1134687379 |
|---|---|
| Provider Enumeration Date | 03/06/2019 |
| Last Update Date | 03/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134687379 | NPI | - | NPPES |
| 2409 | Other | PR | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Orthodontic Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr. 189 Km 3.1 Bo. Rincon, Gurabo, PR 00778 Phone: 787-905-7300 Fax: 787-905-7301 | |
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