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Organization
DR.JOSE J ECHENIQUE
Active
Organization
DR.JOSE J ECHENIQUE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE JAVIER ECHENIQUE (PROPIETARIO)
(787) 783-3418
Entity
Organization
Contact information
Practice address
1161 AVE JESUS T PINERO, SAN JUAN, PR 00920-5604
(787) 783-3418
(787) 783-3418
Mailing address
PO BOX 11585, SAN JUAN, PR 00922-1585
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1037
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040518
CRUZ AZUL
PR
01
—
40955
TRIPLE S
PR
Enumeration date
12/20/2006
Last updated
02/06/2012
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