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Individual

DR. MARIA LOURDES CASTELLVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
775 CALLE CAOBA, CENTRO COMERCIAL LOS CAOBOS STE. 25, PONCE, PR 00716-2610
(787) 841-5111
(787) 841-5111
Mailing address
PO BOX 7215, PONCE, PR 00732-7215
(787) 841-5111
(787) 841-5111

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1618
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041251
LA CRUZ AZUL DE PR
PR
01
41491
TRIPLE S
PR
01
61618
MEDICAL CARD SYSTEM
PR
01
7160048
HUMANA
PR
01
902454
UNITED CONCORDIA
PR
Enumeration date
05/02/2006
Last updated
04/11/2013
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