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Organization

JRC MAXILLOFACIAL SERVICES,PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUAN RAMON RIVERA DMD (PRESIDENTE)
(787) 852-4685
Entity
Organization

Contact information

Practice address
GARRIDO MORALES 53, FAJARDO, PR 00738-1087
(787) 863-2549
Mailing address
6 CALLE FLOR GERENA N, HUMACAO, PR 00791-4293

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
995
PR

Other

Enumeration date
08/27/2010
Last updated
08/27/2010
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