Individual
NINA CAROLA CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
540 CALLE TULIPA, ESTANCIAS DE TORTUGUERO, VEGA BAJA, PR 00693
(787) 367-3736
Mailing address
540 CALLE TULIPA, ESTANCIAS DE TORTUGUERO, VEGA BAJA, PR 00693-3640
(787) 367-3736
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3258
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
07/13/2018
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