# SONRISAS HERMOSAS, CSP

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

## Provider details

- **NPI number:** 1770731259
- **Authorized official:** DR. ELAINE M. PAGAN DMD (PRESIDENT)
- **Authorized official phone:** (787) 756-6125

## Contact information

- **Practice address:** CALLE MARGINAL, ROAD 1 KM. 16.1, BAYAMON, PR 00957-2536
- **Practice address phone:** (787) 756-6125
- **Practice address fax:** (787) 756-6125
- **Mailing address:** PO BOX 1527, TRUJILLO ALTO, PR 00977-1527
- **Mailing address phone:** (787) 756-6125
- **Mailing address fax:** (787) 756-6125

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 1865 | PR | Yes |

## Other

- **Enumeration date:** 09/08/2008
- **Last updated:** 09/08/2008