Individual
DR. RAFAEL A. GAVILANES - MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1005 AVE GENERAL RAMEY STE 1, SAN ANTONIO, PR 00690
(787) 510-0912
Mailing address
PO BOX 784, SAN ANTONIO, PR 00690-0784
(787) 510-0912
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3250
PR
Other
Enumeration date
11/03/2014
Last updated
04/22/2021
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