| San Juan Endodontics Psc | |
|
1738 Calle Amarillo Suite 207-b (box 16) San Juan PR 00926-3072 | |
| (787) 765-7248 | |
| Not Available |
| Full Name | San Juan Endodontics Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1738 Calle Amarillo, San Juan, Puerto Rico |
| Authorized Official Name and Position | Jose Agustin Medina (CEO) |
| Authorized Official Contact | 7877657248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Endodontics Psc 1738 Amarillo St. Box 16 San Juan PR 00926 Ph: (787) 765-7248 | San Juan Endodontics Psc 1738 Calle Amarillo Suite 207-b (box 16) San Juan PR 00926-3072 Ph: (787) 765-7248 |
| NPI Number | 1336544857 |
|---|---|
| Provider Enumeration Date | 10/27/2014 |
| Last Update Date | 10/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336544857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2008 (Puerto Rico) | Primary |
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