Individual
DAVID RUA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4380 THOMASSON DR, NAPLES, FL 34112-6725
(470) 990-8713
Mailing address
5221 SW 19TH PL, CAPE CORAL, FL 33914-6819
(786) 328-9108
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DN24959
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2017
Last updated
08/02/2022
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