Individual
ARIEL O JUSINO CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
B12 CALLE 2, VILLA REAL, VEGA BAJA, PR 00693-5301
(787) 858-5200
Mailing address
B12 CALLE 2, VILLA REAL, VEGA BAJA, PR 00693-5301
(787) 858-5200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1147
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41050
DENTAL PROVIDER
PR
Enumeration date
11/20/2006
Last updated
03/25/2016
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