Individual
NAIOMY PEREZ VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARRETERA ESTATAL #2 KM 29.7, VEGA ALTA, PR 00692-6711
(787) 883-6560
Mailing address
3000 CALLE CORAL, TOA BAJA, PR 00949-3047
(787) 203-2097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3305
PR
1223P0300X
Periodontics
Primary
3305
MI
390200000X
Student in an Organized Health Care Education/Training Program
2952000752
MI
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/14/2018
Last updated
11/14/2024
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