Individual
DR. JOSE RAFAEL PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S. M.S.D.
Contact information
Practice address
8333 W MCNAB RD, SUITE 104, TAMARAC, FL 33321-3242
(954) 722-1100
Mailing address
8333 W MCNAB RD, SUITE 104, TAMARAC, FL 33321-3242
(954) 722-1100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN21946
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2009
Last updated
07/28/2016
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