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Individual

DR. MANUEL AMADO ORTIZ-JUNCEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
145 AVE HOSTOS, EL MONTE SUR TH APT. G-512, SAN JUAN, PR 00918-4258
(787) 764-8448
(787) 764-8448
Mailing address
145 AVE HOSTOS, EL MONTE SUR TH APT. G-512, SAN JUAN, PR 00918-4258
(787) 764-8448
(787) 764-8448

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
733
PR

Other

Enumeration date
02/24/2012
Last updated
02/24/2012
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