Organization
GUAYAMA ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA RIVERA VEGA DMD (PRESIDENT)
(787) 864-8649
Entity
Organization
Contact information
Practice address
GALERIAS PLAZA GUAYAMA SUITE #8, LOS VETERANOS AVENUE, GUAYAMA, PR 00784
(787) 864-8649
Mailing address
GALERIAS PLAZA GUAYAMA SUITE 8, AVENIDA LOS VETERANOS, GUAYAMA, PR 00784
(787) 864-8649
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
10/21/2019
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