| Rg Dental Psc | |
|
A1 Avenida Agustin Perez Andino Villas De Rio Grande Rio Grande PR 00745 | |
| (787) 887-7907 | |
| (787) 887-4676 |
| Full Name | Rg Dental Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | A1 Avenida Agustin Perez Andino, Rio Grande, Puerto Rico |
| Authorized Official Name and Position | David Soto (PRESIDENT) |
| Authorized Official Contact | 7878874020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rg Dental Psc Po Box 2252 Rio Grande PR 00745-2239 Ph: (787) 887-4020 | Rg Dental Psc A1 Avenida Agustin Perez Andino Villas De Rio Grande Rio Grande PR 00745 Ph: (787) 887-7907 |
| NPI Number | 1205207487 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205207487 | NPI | - | NPPES |
| 10033218961 | Other | PR | NPI PERSONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1946 (Puerto Rico) | Primary |
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A Cosmetic Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr #3 Km.21 Local 2 Marginal La Dolores, Rio Grande, PR 00745 Phone: 787-888-3493 Fax: 787-888-3493 | |
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