Individual provider · NPI-1

Dr. Raul Alcoba, DMD

Dentist, General Practice · Caguas, PR

NPI number1104835172
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1104835172
Entity type
Individual (NPI-1)
Name
Dr. Raul Alcoba
Credential
DMD
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 7, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0826PRYes

Practice location

G34 Ave Pino
Villa Turabo
Caguas, PR 00725-6145

Phone 787-743-8480 · Fax 787-743-8480

Mailing address

Po Box 7304
Caguas, PR 00726-7304

Phone 787-743-8480 · Fax 787-743-8480

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