Individual
LUIS ENRIQUE BETANCES RAHOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
COND CONDESA DEL MAR # 3103, APARTAMENTO 1207 ISLA VERDE, CAROLINA, PR 00979-4900
(787) 908-2992
Mailing address
621 CALLE 14 # A, BO OBRERO, SAN JUAN, PR 00915-4129
(787) 908-2992
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1403
PR
Other
Enumeration date
04/27/2006
Last updated
09/23/2015
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