Organization
MED VEC DENTAL CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORBERTO MEDINA DMD (JEFE)
(787) 791-0906
Entity
Organization
Contact information
Practice address
LAGUNA GARDENS SHOPPING CENTER, SUITE 200, CAROLINA, PR 00979
(787) 791-0906
(787) 791-6117
Mailing address
LAGUNA GARDENS SHOPPING CENTER SUITE 200, CAROLINA, PR 00979
(787) 791-0609
(787) 791-6117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1302
PR
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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