# J RESTITUYO-ROSARIO, LLC

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

## Provider details

- **NPI number:** 1851849210
- **Authorized official:** DR. JANNELLY RESTITUYO D.M.D. (ORAL AND MAXILLOFACIAL SURGEON)
- **Authorized official phone:** (787) 200-5542

## Contact information

- **Practice address:** 143-3 CALLE 401, VILLA CAROLINA, CAROLINA, PR 00985-4022
- **Practice address phone:** (787) 200-5542
- **Practice address fax:** (787) 200-5543
- **Mailing address:** 143-3 CALLE 401, VILLA CAROLINA, CAROLINA, PR 00985-4022
- **Mailing address phone:** (787) 200-5542
- **Mailing address fax:** (787) 200-5543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2990 | PR | Yes |

## Other

- **Enumeration date:** 09/14/2016
- **Last updated:** 09/14/2016