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Abimelec Portalatin Perez

Dentist, General Practice in Aguadilla, PR. Individual provider (NPI-1).

NPI number1689313587
StatusActive
Last updated in NPPESJul 8, 2022

Details

NPI
1689313587
Entity type
Individual (NPI-1)
Name
Abimelec Portalatin Perez
Sex
Male
Sole proprietor
Yes
Enumeration date
May 31, 2022
Certification date
Jul 8, 2022
Last updated
Jul 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice3428PRYes

Practice location

Carr 459 Km 1.8 Int
Aguadilla, PR 00603

Phone 787-718-2284

Mailing address

Po Box 310
San Antonio, PR 00690-0310

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Other General Practice Dentistry providers in Aguadilla, PR

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