Organization
ORTHODONTIC CENTERS OF PUERTO RICO INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN RAMON EMMANUELLI JR. DMS, MS (ORTHODONTIST)
(787) 834-2003
Entity
Organization
Contact information
Practice address
55 MEDITACION, SUITE 7 B, MAYAGUEZ, PR 00680
(787) 834-2003
(787) 833-5272
Mailing address
55 MEDITACION, SUITE 7 B, MAYAGUEZ, PR 00680
(787) 834-2003
(787) 833-5272
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
431
PR
Other
Enumeration date
05/07/2007
Last updated
07/02/2008
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