Individual
EDGARDO ESTREMERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HC 5 BOX 92970, ARECIBO, PR 00612-9559
(787) 262-5757
Mailing address
HC 5 BOX 92970, ARECIBO, PR 00612-9559
(787) 262-5757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2691
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42559
SSS PROVIDER ID
PR
Enumeration date
02/09/2006
Last updated
12/12/2012
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