Organization
COROZAL HEALTH PROFESSIONAL SERVICES, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA M PEREZ MARZAN DMD (PRESIDENTA)
(787) 600-4288
Entity
Organization
Contact information
Practice address
CARR 159 # KM15.5, COROZAL, PR 00783-2903
(787) 600-4288
Mailing address
HC 1 BOX 3143, COROZAL, PR 00783-9407
(787) 600-4288
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457490377
NPI
PR
Enumeration date
05/13/2019
Last updated
04/18/2022
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