Organization
FAMILY PRO SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS M NIEVES MENDEZ DMD (PRESIDENT)
(787) 877-2500
Entity
Organization
Contact information
Practice address
EDIFICIO COLON PLAZA, CARR 110 KM 12.4, MOCA, PR 00676-0000
(787) 877-2500
(787) 877-2505
Mailing address
PO BOX 400, MOCA, PR 00676-0400
(787) 877-2500
(787) 877-2505
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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