Individual
ALBERTO IVAN ALMODOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
51 CALLE DE DIEGO E, MAYAGUEZ, PR 00680-5497
(787) 833-3548
(787) 265-7788
Mailing address
PO BOX 2896, MAYAGUEZ, PR 00681-2896
(787) 833-3548
(787) 265-7788
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857504
MA
1223P0300X
Periodontics
Primary
003319
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2016
Last updated
07/21/2022
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