Individual
DR. CARLOS ANTONIO IZCOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
B9 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 798-1772
(787) 288-5021
Mailing address
D9 CALLE 1, BAYAMON, PR 00961-6908
(787) 798-1772
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2244
PR
Other
Enumeration date
02/28/2007
Last updated
03/14/2016
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