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Individual

DR. ANGEL F. AVILES RAMOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
SAN JOSE #155, AIBONITO, PR 00705-0000
(787) 735-7960
(787) 735-7960
Mailing address
P.O. BOX 1507, AIBONITO, PR 00705-1507
(787) 735-7960
(787) 735-7960

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
#053810
NY
122300000X
Dentist
1191
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1191
STATE LICENSE
PR
Enumeration date
01/30/2006
Last updated
12/16/2011
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