Individual provider · NPI-1

Dr. Ricardo Abella

Dentist, General Practice · Bayamon, PR

NPI number1407867013
StatusActive
Last updated in NPPESApr 10, 2020

Details

NPI
1407867013
Entity type
Individual (NPI-1)
Name
Dr. Ricardo Abella
Sex
Male
Sole proprietor
No
Enumeration date
Aug 10, 2006
Certification date
Apr 10, 2020
Last updated
Apr 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice1090PRYes

Practice location

T18 Ave Ruiz Soler
Jardines De Caparra
Bayamon, PR 00959-7708

Phone 787-787-2621

Mailing address

Po Box 363094
San Juan, PR 00936-3094

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