Individual
DR. LUIS C. IRAVEDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
CALLE 1 A2, URB.SAN FERNANDO, TOA ALTA, PR 00953-0000
(787) 870-2019
Mailing address
P.O.BOX 1326, TOA ALTA, PR 00954-0000
(787) 870-2019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1632
PR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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