Organization
CIRUGIA ORAL Y MAXILOFACIAL EL SENORIAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL COLON NIEVES D.M.D., M.D. (OWNER)
(787) 455-8111
Entity
Organization
Contact information
Practice address
200 AVE WINSTON CHURCHILL STE 201, SAN JUAN, PR 00926-6655
(787) 455-8111
(787) 705-5199
Mailing address
200 AVE WINSTON CHURCHILL STE 201, SAN JUAN, PR 00926-6655
(787) 455-8111
(787) 705-5199
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
2846
PR
Other
Enumeration date
03/17/2016
Last updated
06/23/2016
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