Individual
KEILA MARI DE LEON ALCAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
PASEO DR. JOSE CELSO BARBOSA, SAN JUAN, PR 00921
(787) 758-2525
Mailing address
PO BOX 440, CAROLINA, PR 00986
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0911R
PR
1223P0221X
Pediatric Dentistry
Primary
3503
PR
Other
Enumeration date
07/27/2022
Last updated
05/24/2025
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