Organization
CLINICA DENTAL FAMILIAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDINA MARIA GOMEZ D.M.D (OWNER)
(787) 449-2210
Entity
Organization
Contact information
Practice address
5829 AVE 65 INFANTERIA, PLAZA ESCORIAL CINEMAS, CAROLINA, PR 00987-5007
(787) 276-4950
Mailing address
5829 AVE 65 INFANTERIA, PLAZA ESCORIAL CINEMAS, CAROLINA, PR 00987-5007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2482
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447219118
INDIVIDUAL NPI
PR
Enumeration date
08/28/2007
Last updated
08/28/2007
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