Jose L Rivera Zayas Dental Psc
Clinic/Center, Dental in San Juan, PR. Organization (NPI-2).
NPI number1790083301
StatusActive
Last updated in NPPESMar 6, 2011
Details
- NPI
- 1790083301
- Entity type
- Organization (NPI-2)
- Legal business name
- Jose L Rivera Zayas Dental Psc
- Organization subpart
- No
- Enumeration date
- Mar 6, 2011
- Last updated
- Mar 6, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 2107 | PR | Yes |
Practice location
576 Calle Cesar GonzalezSuite 301
San Juan, PR 00918-3756
Phone 787-773-0123
Mailing address
Po Box 364881San Juan, PR 00936-4881
Phone 787-773-0123
Authorized official
Jose Luis Rivera Zayas
President
7877730123
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