Organization
CIRUGIA ORAL Y MAXILOFACIAL CLA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO E GUZMAN (PARTNER)
(787) 756-5300
Entity
Organization
Contact information
Practice address
SUITE 503 #400 FD AVE ROOSEVELT, CLINICA LAS AMERICAS, HATO REY, PR 00918
(787) 756-5300
Mailing address
SUITE 503 #400 FD AVE ROOSEVELT, CLINICA LAS AMERICAS, HATO REY, PR 00918
(787) 756-5300
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
1699
PR
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
2590
PR
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
722
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710095351
NPI
PR
01
—
1811003700
NPI
PR
01
—
1942232871
NPI
PR
Enumeration date
01/17/2007
Last updated
06/18/2008
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