Edwin Segarra SR. DMD

NPI 1093816555 - Dentist - 1223G0001X

NPI Details
NPI 1093816555
Gender Male
Enumeration Date 09/26/2006
Last Updated 04/22/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
CALLE VILLA 129
EDIFICIO CLAUSELLS SUITE 21
PONCE PR, 00730, US
Phone (787) 842-1027
Fax (787) 842-1027
Business Location
PO BOX 8969
PONCE PR, 00732-8969, US
Phone (787) 984-1529
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Puerto Rico
License Number 1789
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According to our database, Edwin Segarra SR. DMD NPI is 1093816555, taxonomy code is 1223G0001X and license number is 1789, license state is located at Puerto Rico. Edwin Segarra SR. DMD physically located at Calle Villa 129, Ponce PR, 00730. NPI Number Edwin Segarra SR. DMD has the Individual type.

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1093816555 NPI number is provided on an as is basis without warranty of any kind. 1093816555 is maintained by the National Plan & Provider Enumeration System. The contents of Edwin Segarra SR. DMD are for informational purposes only.