Cd Bravo INC
Dentist, General Practice in San Juan, PR. Organization (NPI-2).
NPI number1831908458
StatusActive
Last updated in NPPESJan 7, 2025
Details
- NPI
- 1831908458
- Entity type
- Organization (NPI-2)
- Legal business name
- Cd Bravo INC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2025
- Certification date
- Jan 7, 2025
- Last updated
- Jan 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1057 Calle William JonesSan Juan, PR 00925-3856
Phone 787-764-8696
Mailing address
Po Box 1392Saint Just, PR 00978-1392
Phone 877-648-6967
Authorized official
Carla M Bravo Buxo
Administrator
7876856195
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