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Individual

DR. SILVANA MARIBEL PONS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
125 CALLE MARGINAL, URB MONTE CARLO, VEGA BAJA, PR 00693-4239
(787) 855-6776
(787) 855-6776
Mailing address
PO BOX 4223, VEGA BAJA, PR 00694-4223
(787) 855-6776
(787) 855-6776

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2398
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041945
CA
01
1706
IMC
01
206809
PREFERRED HEALTH
01
3514153
ACAA
01
4 2329
SSS
01
6930016
HUMANA
Enumeration date
12/30/2005
Last updated
07/08/2007
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