Individual
LOURDES MARIA VEGA-CASTELLVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 CALLE CAOBA STE 25, PONCE, PR 00716-2610
(787) 841-5111
Mailing address
PO BOX 7215, PONCE, PR 00732-7215
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0442000491
VA
1223G0001X
General Practice Dentistry
Primary
3541
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/10/2023
Last updated
08/15/2025
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