Individual provider · NPI-1

Dr. Luis Angel Blay, dmd

Dentist · Aguadilla, PR

NPI number1275641847
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1275641847
Entity type
Individual (NPI-1)
Name
Dr. Luis Angel Blay
Credential
dmd
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 25, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist970PRYes

Practice location

151 Ave Pedro Albizu Campos Ste 1
Aguadilla, PR 00603-5724

Phone 787-891-6022

Mailing address

151 Ave Pedro Albizu Campos Ste 1
Aguadilla, PR 00603-5724

Phone 787-891-6022

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