Individual
JOSE L FERNANDEZ PEREYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
CALLE DOCTOR VIDAL, ESQUINA ANTONIO LOPEZ, HUMACAO, PR 00792
(787) 850-3450
(787) 850-3450
Mailing address
PO BOX 427, HUMACAO, PR 00792-0427
(787) 850-3450
(787) 850-3450
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1458
PR
Other
Enumeration date
09/25/2006
Last updated
08/04/2020
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