Organization
PUERTO RICO DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN C ORTIZ DE LA RENTA DDS (PRESIDENTE)
(787) 776-0570
Entity
Organization
Contact information
Practice address
VIA MIRTA 3 DS-1, VILLA FONTANA, CAROLINA, PR 00983
(787) 776-0570
(787) 776-0570
Mailing address
PO BOX 8480, SAN JUAN, PR 00910-0480
(787) 776-0570
(787) 776-0570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/27/2007
Last updated
11/08/2012
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