| Irene Banuchi Orthodontist | |
|
Suite 202a, 107 Ave. Gonzalez Guisti Guaynabo PR 00966 | |
| (787) 707-1977 | |
| Not Available |
| Full Name | Irene Banuchi Orthodontist |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Suite 202a,, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Irene Banuchi (PRESIDENT) |
| Authorized Official Contact | 7877071977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Irene Banuchi Orthodontist 22 Calle J Villa Caparra Guaynabo PR 00966-2203 Ph: (787) 397-3644 | Irene Banuchi Orthodontist Suite 202a, 107 Ave. Gonzalez Guisti Guaynabo PR 00966 Ph: (787) 707-1977 |
| NPI Number | 1679618011 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679618011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | PR1927 (Puerto Rico) | Primary |
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