Individual
DR. ISMAEL EMMANUELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
31 CALLE DEGETAU, JUANA DIAZ, PR 00795-1649
(787) 837-3607
(787) 260-2247
Mailing address
31 CALLE DEGETAU, JUANA DIAZ, PR 00795-1649
(787) 837-3607
(787) 260-2247
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1168
PR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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