Individual
NICOLLE CELESTE REYES MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1910 AVE JESUS T PINERO STE 103, SAN JUAN, PR 00921-1100
(787) 427-9211
Mailing address
PASEO DR. JOSE CELSO BARBOSA, SAN JUAN, PR 00921
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3360
PR
Other
Enumeration date
11/12/2019
Last updated
07/29/2025
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