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206 Calle Dr Fernandez 206 Dr Fernandez Trujillo Alto PR 00976-5939 | |
| (787) 755-3045 | |
| (787) 292-0277 |
| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 206 Calle Dr Fernandez, Trujillo Alto, Puerto Rico |
| Authorized Official Name and Position | Jorge Velazquez Ramon (PRESIDENT) |
| Authorized Official Contact | 7877553045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 51597 Po Box 51597 Toa Baja PR 00950-1597 Ph: (787) 755-3045 | 206 Calle Dr Fernandez 206 Dr Fernandez Trujillo Alto PR 00976-5939 Ph: (787) 755-3045 |
| NPI Number | 1104139914 |
|---|---|
| Provider Enumeration Date | 07/21/2010 |
| Last Update Date | 02/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104139914 | NPI | - | NPPES |
| 1083642029 | Other | PR | NPI |
| 1114006079 | Other | PR | NPI |
| 1164410619 | Other | PR | NPI |
| 1184793374 | Other | PR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0450 (Puerto Rico) | Primary |
Trujillo Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Calle Dr. Fernandez, #206, Trujillo Alto, PR 00976 Phone: 787-755-3045 Fax: 787-292-0277 | |
Dr Brenda Latorre Psc Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Expreso Trujillo Alto Int Carr #850, Bo Las Cuevas Tercer Piso, Trujillo Alto, PR 00976 Phone: 787-283-1420 Fax: 787-760-6652 | |
Dental Pmb Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 Edificio Centro Suite 209, Trujillo Alto, PR 00976 Phone: 787-755-3105 | |