Melisa Polhamus Lopez, DMD | |
Carr 172 Km 13.5, Ave El Jibaro, Cidra, PR 00739 | |
(787) 739-8182 | |
Not Available |
Full Name | Melisa Polhamus Lopez |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | Carr 172 Km 13.5, Cidra, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942487905 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2791 (Puerto Rico) | Primary |
1223G0001X | Dentist - General Practice | DN 20315 (Florida) | Secondary |
Entity Name | Salud Integral En La Montana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578586244 PECOS PAC ID: 8527972827 Enrollment ID: O20040803000311 |
Mailing Address | Practice Location Address |
---|---|
Melisa Polhamus Lopez, DMD Po Box 1863, Guaynabo, PR 00970-1863 Ph: (787) 615-1937 | Melisa Polhamus Lopez, DMD Carr 172 Km 13.5, Ave El Jibaro, Cidra, PR 00739 Ph: (787) 739-8182 |
Dr. Eric G Castrodad Ortiz, DMD Dentist Medicare: Medicare Enrolled Practice Location: Antonio Barcelo #35 Street, Cidra, PR 00739 Phone: 787-739-2525 | |
Dr. Marienaldy Berrios, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: Calle Francisco. Cruz Haddock 2, Cidra, PR 00739 Phone: 787-739-8182 Fax: 787-739-8190 | |
Dr. David Perez, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 44 Calle Barcelo, Cidra, PR 00739 Phone: 787-739-4501 Fax: 787-739-4501 | |
Dr. Livia Iris Santos, Dentist Medicare: Not Enrolled in Medicare Practice Location: B Cidra Professional Center, Local 3, Cidra, PR 00739 Phone: 787-714-0681 | |
Dr. Ana Evelyn Ayala, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Carr 7733, Cidra, PR 00739 Phone: 787-739-6700 | |
Dr. Antonio F. Rivera, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: Jose De Diego #53 Altos, Cidra, PR 00739 Phone: 787-739-1092 Fax: 787-739-3272 | |
Dr. Leticia Marie Girau-colon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2 Calle Francisco Cruz, Cidra, PR 00739 Phone: 787-739-8182 |