| San Juan Pediatric Dental Home Psc | |
|
282 Ave Pinero Ste 211 Plaza El Amal San Juan PR 00927-3918 | |
| (787) 765-2679 | |
| (787) 753-3934 |
| Full Name | San Juan Pediatric Dental Home Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 282 Ave Pinero Ste 211, San Juan, Puerto Rico |
| Authorized Official Name and Position | Noel Joaquin Aymat (PRESIDENT AND PEDIATRIC DENTIST) |
| Authorized Official Contact | 7877652679 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Juan Pediatric Dental Home Psc 282 Ave Pinero Ste 211 Plaza El Amal San Juan PR 00927-3918 Ph: (787) 765-2679 | San Juan Pediatric Dental Home Psc 282 Ave Pinero Ste 211 Plaza El Amal San Juan PR 00927-3918 Ph: (787) 765-2679 |
| NPI Number | 1780876995 |
|---|---|
| Provider Enumeration Date | 08/11/2007 |
| Last Update Date | 08/11/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780876995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 1980 (Puerto Rico) | Primary |
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