Organization
CENTRO MAXILOFACIAL DEL NORTE CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CESAR RAMON TALAVERA DMD (PRESIDENT)
(787) 898-9054
Entity
Organization
Contact information
Practice address
STREET 493, DEL NORTE PROFFESIONAL CENTER, HATILLO, PR 00659
(787) 898-9054
Mailing address
PO BOX 1531, HATILLO, PR 00659-1531
(787) 898-9054
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
PR
Other
Enumeration date
07/03/2008
Last updated
07/21/2022
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