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Individual
DR. YIRA VIONET TABOAS
Active
Individual
DR. YIRA VIONET TABOAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1727
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041365
LA CRUZ AZUL
PR
01
—
3511103
ACAA
PR
01
—
41601
TRIPLE-S
PR
01
—
61727
MEDICAL CARD SYSTEM
PR
01
—
8338
INTERNATIONAL MEDICAL CAR
PR
01
—
851910
UNITED CONCORDIA
PR
Enumeration date
06/27/2005
Last updated
07/08/2007
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