# UNIVERSITY OF PUERTO RICO MSC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PEDIATRIC UNIVERSITY HOSP DENTAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225181266
- **Authorized official:** DR. NOEL J AYMAT DMD (PROGRAM DIRECTOR)
- **Authorized official phone:** (787) 758-2525

## Contact information

- **Practice address:** PEDIATRIC DENTISTRY CLINICS, CENTRO MEDICO, SAN JUAN, PR 00935-0001
- **Practice address phone:** (787) 758-2525
- **Mailing address:** PO BOX 365067, SAN JUAN, PR 00936-5067
- **Mailing address phone:** (787) 758-2525
- **Mailing address fax:** (787) 758-7871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 0000 | PR | Yes |

## Other

- **Enumeration date:** 01/22/2007
- **Last updated:** 08/22/2020