Individual
DR. JOSE CARLOS VICENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
A7 URB SAN ANTONIO, HUMACAO, PR 00791
(787) 285-5544
Mailing address
PO BOX 758, HUMACAO, PR 00792-0758
(787) 852-6729
(787) 852-3000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
052522
NY
1223P0221X
Pediatric Dentistry
2708
PR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2708
PR
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
52522
NY
Other
Enumeration date
09/17/2006
Last updated
07/03/2024
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