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SERVICIOS ESPECIALIZADOS DE ORTODONCIA NPI 1003004714


NPI Profile

NPI: 1003004714
Provider Name: SERVICIOS ESPECIALIZADOS DE ORTODONCIA
Classification:Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
OFFICE 12 65 INFANTERIA RIO PIEDRAS
CENT COM LOS FLAMBOYANES
SAN JUAN, PR
ZIP 00924
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Phone: (178) 775-8156

SERVICIOS ESPECIALIZADOS DE ORTODONCIA is a dental clinic center in San Juan, PR. SERVICIOS ESPECIALIZADOS DE ORTODONCIA NPI is 1003004714. The provider is registered as an organization entity type.

The provider's business location address is:

OFFICE 12 65 INFANTERIA RIO PIEDRAS
CENT COM LOS FLAMBOYANES
SAN JUAN, PR
ZIP 00924-314
Phone: (178) 775-8156
Fax: (178) 775-8151

The provider's authorized official is Victor L Acevedo .
The authorized official title is President and has the following contact phone number 17877581560.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 10/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental864PUERTO RICOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 6/14/2021

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