Superior Dental | |
Urb Miraflores Avenida Los Dominicos #8 Bayamon PR 00957 | |
(787) 636-8350 | |
Not Available |
Full Name | Superior Dental |
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Speciality | Clinic/Center |
Location | Urb Miraflores, Bayamon, Puerto Rico |
Authorized Official Name and Position | Laura F Rosado Albacarys (PRESIDENT) |
Authorized Official Contact | 7876368350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Superior Dental Calle Sergio Cuevas Bustamante 650 Condominio Segovia Apt 904 San Juan PR 00918 Ph: (787) 636-8350 | Superior Dental Urb Miraflores Avenida Los Dominicos #8 Bayamon PR 00957 Ph: (787) 636-8350 |
NPI Number | 1023698529 |
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Provider Enumeration Date | 04/09/2021 |
Last Update Date | 08/05/2021 |
Medicare PECOS PAC ID | 5294139481 |
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Medicare Enrollment ID | O20210810003240 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023698529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Laura F Rosado Albacarys |
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Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1831725845 PECOS PAC ID: 6103220397 Enrollment ID: I20210810003323 |
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