# MPL MAXILLOFACIAL SURGERY, PSC

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

## Provider details

- **NPI number:** 1881984920
- **Authorized official:** DR. MIGUEL PASTRANA (PRESIDENT)
- **Authorized official phone:** (954) 232-5590

## Contact information

- **Practice address:** CARR 111 KM 18, BAHOMAMEY, SAN SEBASTIAN, PR 00685
- **Practice address phone:** (954) 232-5590
- **Mailing address:** PO BOX 1678, SAN SEBASTIAN, PR 00685-1678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 2043 | PR | Yes |

## Other

- **Enumeration date:** 04/11/2011
- **Last updated:** 06/01/2011