Individual
NICOLE MARIE RODRIGUEZ-PURCELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CLINICA DENTAL NUEVA IMAGEN, CARR #2 KM. 65.2, ARECIBO, PR 00612
(787) 650-2333
Mailing address
PO BOX 51339, TOA BAJA, PR 00950-1339
(305) 713-9086
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3298
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/26/2018
Last updated
06/22/2020
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