Organization
CENTRO DE MICROENDODONCIA DE PUERTO RICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANNELLY B GONZALEZ D.M.D. (ENDODONTIST)
(787) 688-8389
Entity
Organization
Contact information
Practice address
500 AVE DEGETAU, HIMA PLAZA I SUITE 313, CAGUAS, PR 00725-7301
(787) 653-6210
(787) 653-5846
Mailing address
500 AVE DEGETAU, HIMA PLAZA I SUITE 313, CAGUAS, PR 00725-7301
(787) 653-6210
(787) 653-5846
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
06/28/2025
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