Amanecer Mutuo, Psc
Dentist, Prosthodontics in Carolina, PR. Organization (NPI-2).
NPI number1801115605
StatusActive
Last updated in NPPESMay 19, 2010
Details
- NPI
- 1801115605
- Entity type
- Organization (NPI-2)
- Legal business name
- Amanecer Mutuo, Psc
- Organization subpart
- No
- Enumeration date
- May 19, 2010
- Last updated
- May 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 2751 | PR | Yes |
| 208D00000X | General Practice | 16005 | PR |
Practice location
5725 Blvd. Media Luna, Suite # 5Galerias De Escorial Shopping Center
Carolina, PR 00987
Phone 787-453-0563
Mailing address
Po Box 1893Carolina, PR 00984-1893
Phone 787-453-0563
Authorized official
Jose A Lopez-Calero
President
7874530563
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