Organization
CUTIS FCMS, LLC
Active
Organization
CUTIS FCMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA ORTIZ-DIAZ DMD (PRESIDENT)
(787) 219-7943
Entity
Organization
Contact information
Practice address
36 CARR 2 STE 302, VEGA ALTA, PR 00692-6092
(787) 883-6234
Mailing address
CALLE NOGAL 67 URB. MONTECASINO, TOA ALTA, PR 00953
(787) 219-7943
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038821200
—
PR
Enumeration date
09/08/2021
Last updated
09/08/2021
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