# PROGRAMA GRADUADO CIRUGIA ORAL Y MAXILOFACIAL, UPR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ESCUELA DE MEDICINA DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194025627
- **Authorized official:** DR. ATILANO LEON DMD (DIRECTOR)
- **Authorized official phone:** (787) 758-2525

## Contact information

- **Practice address:** CENTRO MEDICO RIO PIEDRAS, RECINTO DE CIENCIAS MEDICAS, 1ER PISO, A 127, SAN JUAN, PR 00936
- **Practice address phone:** (787) 758-2525
- **Practice address fax:** (787) 751-0858
- **Mailing address:** PO BOX 365067, SAN JUAN, PR 00936-5067
- **Mailing address phone:** (787) 758-2525
- **Mailing address fax:** (787) 751-0858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 840 | PR | Yes |

## Other

- **Enumeration date:** 11/01/2010
- **Last updated:** 11/01/2010