Jrc Maxillofacial Services,psc | |
Garrido Morales 53 Fajardo PR 00738-1087 | |
(787) 863-2549 | |
Not Available |
Full Name | Jrc Maxillofacial Services,psc |
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Speciality | Dentist |
Location | Garrido Morales 53, Fajardo, Puerto Rico |
Authorized Official Name and Position | Juan Ramon Rivera (PRESIDENTE) |
Authorized Official Contact | 7878524685 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jrc Maxillofacial Services,psc 6 Calle Flor Gerena N Humacao PR 00791-4293 Ph: () - | Jrc Maxillofacial Services,psc Garrido Morales 53 Fajardo PR 00738-1087 Ph: (787) 863-2549 |
NPI Number | 1689980682 |
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Provider Enumeration Date | 08/27/2010 |
Last Update Date | 08/27/2010 |
Medicare PECOS PAC ID | 1153582911 |
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Medicare Enrollment ID | O20120423000377 |
Identifier | Type | State | Issuer |
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1689980682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | 995 (Puerto Rico) | Primary |
Provider Name | Juan R Rivera |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1073502860 PECOS PAC ID: 4688835457 Enrollment ID: I20120423000419 |
Grupo Dental Ayala Del Rio Csp Dental Clinic Medicare: Medicare Enrolled Practice Location: M10 Ave. El Conquistador Valle Verde, Suite 201, Fajardo, PR 00738 Phone: 787-860-4223 Fax: 787-863-6972 | |
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