Organization
PATRICIO J. SUMAZA, DMD, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIO JAVIER SUMAZA DMD (PRESIDENTE)
(787) 986-3636
Entity
Organization
Contact information
Practice address
351 AVE HOSTOS, SUITE 211, MEDICAL EMPORIUM, MAYAGUEZ, PR 00680-1502
(787) 986-3636
(787) 805-1610
Mailing address
351 AVE HOSTOS, SUITE 211, MEDICAL EMPORIUM, MAYAGUEZ, PR 00680-1502
(787) 986-3636
(787) 805-1610
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2496
PR
Other
Enumeration date
07/07/2005
Last updated
06/28/2012
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