CIRUGIA ORAL Y MAXILOFACIAL CLA CSP; NPI #1679625909

Contact Information

CIRUGIA ORAL Y MAXILOFACIAL CLA CSP

SUITE 503 #400 FD AVE ROOSEVELT
CLINICA LAS AMERICAS
HATO REY, PR 00918

Phone: 787-756-5300
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Oral and Maxillofacial Surgery	261QS0112X

Indicates primary specialty

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NPI Profile & details for CIRUGIA ORAL Y MAXILOFACIAL CLA CSP

NPI Number 1679625909

LBN Legal business name CIRUGIA ORAL Y MAXILOFACIAL CLA CSP

Authorized official JULIO GUZMAN - (PARTNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/17/2007

Last updated 06/18/2008 - About 18 years ago

Identifiers

PR	License #	1699
PR	License #	2590
PR	License #	722
PR	Other	1710095351	NPI
PR	Other	1811003700	NPI
PR	Other	1942232871	NPI

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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