Individual
ABIMELEC PORTALATIN PEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR 459 KM 1.8 INT, AGUADILLA, PR 00603
(787) 718-2284
Mailing address
PO BOX 310, SAN ANTONIO, PR 00690-0310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3428
PR
Other
Enumeration date
05/31/2022
Last updated
07/08/2022
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