| Servicios Especializados De Ortodoncia | |
|
Office 12 65 Infanteria Rio Piedras Cent Com Los Flamboyanes San Juan PR 00924-3314 | |
| (178) 775-8156 | |
| (178) 775-8151 |
| Full Name | Servicios Especializados De Ortodoncia |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Office 12 65 Infanteria Rio Piedras, San Juan, Puerto Rico |
| Authorized Official Name and Position | Victor L Acevedo (PRESIDENT) |
| Authorized Official Contact | 17877581560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Servicios Especializados De Ortodoncia Office 12 65 Infanteria Cent Com Los Flamboyanes San Juan PR 00924-3314 Ph: (178) 775-8156 | Servicios Especializados De Ortodoncia Office 12 65 Infanteria Rio Piedras Cent Com Los Flamboyanes San Juan PR 00924-3314 Ph: (178) 775-8156 |
| NPI Number | 1003004714 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 10/09/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003004714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 864 (Puerto Rico) | Primary |
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