Individual provider · NPI-1

Dr. Ricardo J Almodovar Colon

Dentist, Periodontics · Bayamon, PR

NPI number1730619685
StatusActive
Last updated in NPPESNov 27, 2024

Details

NPI
1730619685
Entity type
Individual (NPI-1)
Name
Dr. Ricardo J Almodovar Colon
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 14, 2017
Certification date
Nov 27, 2024
Last updated
Nov 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics3265PRYes
1223G0001X Dentist, General Practice3265PR
390200000X Student in an Organized Health Care Education/Training Program–PR

Practice location

B8 Calle Santa Cruz
Bayamon, PR 00961-6902

Phone 787-269-8687

Mailing address

B8 Calle Santa Cruz
Bayamon, PR 00961-6902

Phone 787-269-8687

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