Organization
L .R. DENTAL C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN R VIVES PAGAN D.M.D. (DENTIST)
(787) 783-1259
Entity
Organization
Contact information
Practice address
1270 CALLE 54 SE, URB LA RIVIERA, SAN JUAN, PR 00921
(787) 783-1259
Mailing address
1270 CALLE 54 SE, URB LA RIVIERA, SAN JUAN, PR 00921
(787) 783-1259
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D1452
PR
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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