Organization
CENTRO DE ENDODONCIA Y PERIODONCIA DEL CARIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEAN MARTINEZ DMD, MS (PRESIDENT)
(787) 607-6171
Entity
Organization
Contact information
Practice address
735 AVE PONCE DE LEON, SUITE 504 TORRE DEL AUXILIO MUTUO, SAN JUAN, PR 00917-5022
(787) 607-6171
Mailing address
CALLE AUGUSTA #1627, ESTANCIAS DE SAN GERARDO, SAN JUAN, PR 00926
(787) 607-6171
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
2702
PR
1223P0300X
Periodontics
Primary
2712
PR
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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