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PROGRAMA GRADUADO CIRUGIA ORAL Y MAXILOFACIAL UPR NPI 1194025627


NPI Information

NPI: 1194025627
Provider Name: PROGRAMA GRADUADO CIRUGIA ORAL Y MAXILOFACIAL, UPR

Other Name: ESCUELA DE MEDICINA DENTAL

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
CENTRO MEDICO RIO PIEDRAS, RECINTO DE CIENCIAS MEDICAS
1ER PISO, A 127
SAN JUAN, PR
ZIP 00936
Phone: (787) 758-2525
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PROGRAMA GRADUADO CIRUGIA ORAL Y MAXILOFACIAL, UPR is an oral and maxillofacial surgery dentist in San Juan, PR. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PROGRAMA GRADUADO CIRUGIA ORAL Y MAXILOFACIAL, UPR NPI is 1194025627. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Escuela De Medicina Dental.

The provider's business location address is:

CENTRO MEDICO RIO PIEDRAS, RECINTO DE CIENCIAS MEDICAS
1ER PISO, A 127
SAN JUAN, PR
ZIP 00936
Phone: (787) 758-2525
Fax: (787) 751-0858

The provider's authorized official is Atilano Leon .
The authorized official title is Director and has the following contact phone number (787) 758-2525.

The enumeration date for this NPI number is 11/1/2010 and was last updated on 11/1/2010.


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
11223S0112XDentistOral and Maxillofacial Surgery840PUERTO 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: 4/28/2024

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