| Norberto Medina Pellicer | |
|
Ave Laguna Suite 200 Carolina PR 00979-6434 | |
| (787) 791-0906 | |
| (787) 791-6117 |
| Full Name | Norberto Medina Pellicer |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Ave Laguna, Carolina, Puerto Rico |
| Authorized Official Name and Position | Norberto Medina (DUENO) |
| Authorized Official Contact | 7877910906 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Norberto Medina Pellicer Laguna Gardens Shopping Center Suite 200 Carolina PR 00979 Ph: (787) 791-0906 | Norberto Medina Pellicer Ave Laguna Suite 200 Carolina PR 00979-6434 Ph: (787) 791-0906 |
| NPI Number | 1639319312 |
|---|---|
| Provider Enumeration Date | 02/20/2009 |
| Last Update Date | 02/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639319312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1302 (Puerto Rico) | Primary |
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