| Grupo De Odontologia Cosmetica Y Ortodoncia | |
|
254 Calle Luis Munoz Rivera Guayanilla PR 00656-1717 | |
| (787) 835-4014 | |
| (787) 835-4014 |
| Full Name | Grupo De Odontologia Cosmetica Y Ortodoncia |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 254 Calle Luis Munoz Rivera, Guayanilla, Puerto Rico |
| Authorized Official Name and Position | Rafael Francisco Diaz (PRESIDENT) |
| Authorized Official Contact | 7878354014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grupo De Odontologia Cosmetica Y Ortodoncia Po Box 560537 Guayanilla PR 00656-0537 Ph: (787) 835-4014 | Grupo De Odontologia Cosmetica Y Ortodoncia 254 Calle Luis Munoz Rivera Guayanilla PR 00656-1717 Ph: (787) 835-4014 |
| NPI Number | 1144300203 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 09/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144300203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 1827 (Puerto Rico) | Primary |