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C8 Ave Gautier Benitez Consolidated Mall Caguas PR 00726 | |
| (787) 234-8865 | |
| (787) 660-7256 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | C8 Ave Gautier Benitez, Caguas, Puerto Rico |
| Authorized Official Name and Position | Vivian Solivan (PRESIDENT) |
| Authorized Official Contact | 7876507294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 455 400 Calle Calaf San Juan PR 00918 Ph: (787) 234-8865 | C8 Ave Gautier Benitez Consolidated Mall Caguas PR 00726 Ph: (787) 234-8865 |
| NPI Number | 1578704805 |
|---|---|
| Provider Enumeration Date | 03/17/2009 |
| Last Update Date | 05/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578704805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Consolidated Dental Office Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Consolidated Medical Plaza ,ave. Gautier Benitez, Suite 202, Caguas, PR 00725 Phone: 787-743-2128 Fax: 787-743-2128 | |
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