Luis Enrique Betances Rahola, DMD
Dentist in Carolina, PR. Individual provider (NPI-1).
NPI number1063479616
StatusActive
Last updated in NPPESSep 23, 2015
Details
- NPI
- 1063479616
- Entity type
- Individual (NPI-1)
- Name
- Luis Enrique Betances Rahola
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2006
- Last updated
- Sep 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 1403 | PR | Yes |
Practice location
Cond Condesa Del Mar # 3103Apartamento 1207 Isla Verde
Carolina, PR 00979-4900
Phone 787-908-2992
Mailing address
621 Calle 14 # ABo Obrero
San Juan, PR 00915-4129
Phone 787-908-2992
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