Organization
ADVANCE DENTAL JRJ,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE M RODRIGUEZ BENITEZ M.D. (PRESIDENT)
(787) 745-0708
Entity
Organization
Contact information
Practice address
AVE.SABANA SECA, CARR 867 KM 2.2, TOA BAJA, PR 00952
(787) 261-3260
(787) 261-3260
Mailing address
PO BOX 1388, CAGUAS, PUERTO RICO 00726
(787) 745-0708
(787) 747-9300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
591
PR
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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