| Pro Medical Dental Group Llc | |
|
Carr 924 Km 3.3 Barrio Pitahaya Humacao PR 00791 | |
| (787) 955-2901 | |
| Not Available |
| Full Name | Pro Medical Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Carr 924 Km 3.3 Barrio Pitahaya, Humacao, Puerto Rico |
| Authorized Official Name and Position | Mariela E Torres Cruz (FACTURADORA) |
| Authorized Official Contact | 7879552901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Medical Dental Group Llc 403 Calle Flamboyan Humacao PR 00791-4909 Ph: () - | Pro Medical Dental Group Llc Carr 924 Km 3.3 Barrio Pitahaya Humacao PR 00791 Ph: (787) 955-2901 |
| NPI Number | 1699432013 |
|---|---|
| Provider Enumeration Date | 11/19/2021 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699432013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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