| Toa Alta Dental Group P.s.c. | |
|
15 Calle Munoz Rivera (altos) Calle Munoz Rivera 15 Toa Alta PR 00953 | |
| (787) 870-1425 | |
| (787) 870-5934 |
| Full Name | Toa Alta Dental Group P.s.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 15 Calle Munoz Rivera (altos), Toa Alta, Puerto Rico |
| Authorized Official Name and Position | Juan Marcos Velazquez Ramirez (ADMINISTRATOR) |
| Authorized Official Contact | 7878701425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Toa Alta Dental Group P.s.c. Po Box 1295 Po Box 1295 Toa Alta PR 00954-1295 Ph: (787) 870-1425 | Toa Alta Dental Group P.s.c. 15 Calle Munoz Rivera (altos) Calle Munoz Rivera 15 Toa Alta PR 00953 Ph: (787) 870-1425 |
| NPI Number | 1427181841 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 09/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427181841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5514 (Puerto Rico) | Primary |
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