Individual
DR. MIGUEL ANGEL MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
NIEVES PETIT MALL, SUITE 4 LOS VETAYANOS AVENUE, GUAYAMA, PR 00784
(787) 864-1905
(787) 864-1905
Mailing address
PO BOX 1509, GUAYAMA, PR 00785-1509
(787) 864-1905
(787) 864-1905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
984
PR
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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