NPI Profile for PDA MAXILLOFACIAL SURGERY LLC in GUAYNABO, PR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery |
| NPI # | 1548853179 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/15/2021 | |
| Last updated | 02/15/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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| RECINTO DE CIENCIAS MEDICAS EDIF. PRINCIPAL RCM - 5TO PISO OFIC. 563 ESC. MEDICINA SAN JUAN, PR |
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| FARMACIA JENNY,INC 21 CALLE SAN JOAQUIN ADJUNTAS, PR |
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| CATERINA ABDALA VILLA, MD - -, PR |