# ODONTOLOGIA GENERAL Y PEDIATRICA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043373814
- **Authorized official:** DR. CARLOS LIONEL MARTINEZ (DUENO)
- **Authorized official phone:** (787) 250-5055

## Contact information

- **Practice address:** CLINICA LAS AMERICA, 400 AVE ROOSEVELT SUITE 505, SAN JUAN, PR 00918
- **Practice address phone:** (787) 250-5055
- **Practice address fax:** (787) 250-0511
- **Mailing address:** CLINICA LAS AMERICA, 400 AVE ROOSEVELT SUITE 505, SAN JUAN, PR 00918
- **Mailing address phone:** (787) 250-5055
- **Mailing address fax:** (787) 250-0511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2006
- **Last updated:** 09/11/2025