Individual
DR. LUIS M VISSEPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
MUNOZ RIVERA #20 ST, SAN SEBASTIAN, PR 00685-0310
(787) 896-1182
(787) 896-1182
Mailing address
PO BOX 310, SAN SEBASTIAN, PR 00685-0310
(787) 896-1182
(787) 896-1185
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
560
PR
Other
Enumeration date
08/21/2007
Last updated
08/23/2007
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