Individual
DR. YOLANDA HEREDIA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
PLAZA BUXO CARR 181, EDIF 2 LOCAL 3, SAN LORENZO, PR 00754
(787) 715-1490
(787) 715-0322
Mailing address
RR 36 BOX 6164, SAN JUAN, PR 00926
(787) 715-1490
(787) 715-0322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2504
PR
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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