JRC MAXILLOFACIAL SERVICESPSC NPI 1689980682

NPI Information

  • NPI: 1689980682
  • Provider Name: JRC MAXILLOFACIAL SERVICES,PSC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: GARRIDO MORALES 53
    FAJARDO, PR
    ZIP 00738
  • Phone: (787) 863-2549

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NPI Details

JRC MAXILLOFACIAL SERVICES,PSC is an oral and maxillofacial surgery dentist in Fajardo, 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. JRC MAXILLOFACIAL SERVICES,PSC NPI is 1689980682. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

GARRIDO MORALES 53
FAJARDO, PR
ZIP 00738-087
Phone: (787) 863-2549

The provider's authorized official is Juan Ramon Rivera .
The authorized official title is Presidente and has the following contact phone number (787) 852-4685.

The enumeration date for this NPI number is 8/27/2010 and was last updated on 8/27/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery995PUERTO RICOYes

What is NPI?

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This page was last updated on: 11/21/2025

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