Individual
LINETTE MALDONADO LUGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
356 AVE AMERICO MIRANDA, DENTAL SCHOOL, SAN JUAN, PR 00927-5147
(787) 758-2525
Mailing address
8 AVE LOS DOMINICOS, URB MIRAFLORES, BAYAMON, PR 00957
(787) 799-4116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3212
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/19/2015
Last updated
10/03/2016
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