Organization
IN PROSTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRES NEFTALI IRIZARRY NAZARIO DMD, MS (OWNER)
(787) 447-6944
Entity
Organization
Contact information
Practice address
351 AVE HOSTOS STE 214, MAYAGUEZ, PR 00680-1503
(787) 806-2442
Mailing address
URB. SULTANA 65 MALAGA ST., MAYAGUEZ, PR 00680
(787) 447-6944
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497425359
—
PR
Enumeration date
11/06/2024
Last updated
06/04/2025
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