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Organization
PRO MEDICAL DENTAL GROUP LLC
Active
Organization
PRO MEDICAL DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIELA E TORRES CRUZ (FACTURADORA)
(787) 955-2901
Entity
Organization
Contact information
Practice address
CARR 924 KM 3.3 BARRIO PITAHAYA, HUMACAO, PR 00791
(787) 955-2901
Mailing address
403 CALLE FLAMBOYAN, HUMACAO, PR 00791-4909
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
01/24/2023
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