| Oficina Dental Dr Jacqueline Rodriguez Psc | |
|
Street 156 Hm 49 4 Bo Sumicten Aguas Buenas PR 00703 | |
| (787) 732-0509 | |
| (787) 732-0509 |
| Full Name | Oficina Dental Dr Jacqueline Rodriguez Psc |
|---|---|
| Speciality | Dentist |
| Location | Street 156 Hm 49 4 Bo Sumicten, Aguas Buenas, Puerto Rico |
| Authorized Official Name and Position | Jacqueline Rodriguez (PRESIDENTE) |
| Authorized Official Contact | 7877320509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oficina Dental Dr Jacqueline Rodriguez Psc #35 Munoz Rivera Aguas Buenas PR 00703 Ph: (787) 732-0509 | Oficina Dental Dr Jacqueline Rodriguez Psc Street 156 Hm 49 4 Bo Sumicten Aguas Buenas PR 00703 Ph: (787) 732-0509 |
| NPI Number | 1356508873 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356508873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2411 (Puerto Rico) | Primary |