| J Restituyo-rosario, Llc | |
|
143-3 Calle 401 Villa Carolina Carolina PR 00985-4022 | |
| (787) 200-5542 | |
| (787) 200-5543 |
| Full Name | J Restituyo-rosario, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 143-3 Calle 401, Carolina, Puerto Rico |
| Authorized Official Name and Position | Jannelly Restituyo (ORAL AND MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 7872005542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Restituyo-rosario, Llc 143-3 Calle 401 Villa Carolina Carolina PR 00985-4022 Ph: (787) 200-5542 | J Restituyo-rosario, Llc 143-3 Calle 401 Villa Carolina Carolina PR 00985-4022 Ph: (787) 200-5542 |
| NPI Number | 1851849210 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 09/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851849210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2990 (Puerto Rico) | Primary |
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