Individual
DR. MARIO FALLETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
#62 DR VEVE, SAN GERMAN, PR 00683
(787) 892-3672
(787) 892-6909
Mailing address
PO BOX 124, SAN GERMAN, PR 00683-0124
(787) 892-3672
(787) 892-6909
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
PR2369
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041980
CRUZ AZUL
PR
01
—
1192
IMC
PR
01
—
206286
PREFERED HEALTH
PR
01
—
2369
LICENCIA DENTAL
PR
01
—
42352
SSS
PR
01
—
6230072
HUMANA
PR
01
—
70141
PREFERED MEDICARE CHOICE
PR
Enumeration date
10/02/2006
Last updated
07/08/2007
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