Organization
MICOL HERNANDEZ RIVERA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICOL HERNANDEZ RIVERA D.M.D. (OWNER)
(787) 281-8106
Entity
Organization
Contact information
Practice address
1959 CALLE LOIZA STE 301, SAN JUAN, PR 00911-1873
(787) 281-8106
Mailing address
1959 CALLE LOIZA STE 301, SAN JUAN, PR 00911-1873
(787) 281-8106
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
04/07/2021
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