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570 Calle Napoles Ste 208 Concordia Gardens Shopping Ctr Rio Piedras PR 00924-4605 | |
(787) 755-4347 | |
(787) 283-7440 |
Full Name | |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 570 Calle Napoles Ste 208, Rio Piedras, Puerto Rico |
Authorized Official Name and Position | Emma Gisela Montanez (ADMINISTRATOR) |
Authorized Official Contact | 7873741181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 29736 San Juan PR 00929-0736 Ph: (787) 755-4347 | 570 Calle Napoles Ste 208 Concordia Gardens Shopping Ctr Rio Piedras PR 00924-4605 Ph: (787) 755-4347 |
NPI Number | 1649485657 |
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Provider Enumeration Date | 05/12/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649485657 | NPI | - | NPPES |
004-0826CI | Other | PR | SSS PROVIDER NOMBER |
067099 | Other | PR | LA CRUZ AZUL PROVIDER NOM |
4390 | Other | PR | PMC PROVIDER NOMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Puerto Rico) | Primary |
Negmer Dental Group,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Calle Georgetti, Suite 1c, Rio Piedras, PR 00925 Phone: 787-751-4102 | |
Oficina Bioestetica Dental, Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Lodi 601, Villa Capri, Rio Piedras, PR 00924 Phone: 787-763-8797 Fax: 787-250-9589 | |