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Individual

MRS. JACQUELINE M BIGAS MENDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1496 PASEO FAGOT, PONCE, PR 00716-2304
(787) 843-5858
Mailing address
PO BOX 56, MERCEDITA, PR 00715-0056
(787) 843-5858

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1208
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041013
CRUZ AZUL
PR
01
41275 BI
TRIPLE SSS
PR
Enumeration date
08/09/2005
Last updated
08/17/2017
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