| NPI Details | |
|---|---|
| NPI | 1245504752 |
| Enumeration Date | 03/01/2012 |
| Last Updated | 03/01/2012 |
| Entity Type | Healthcare Provider |
| Active | Over 5 years ago |
| Authorized Information | |
|---|---|
| Name | JUAN R JUAN |
| Position | PRESIDENT |
| Phone | (787) 834-2003 |
| Fax | (787) 833-5272 |
| Practice Location | |
|---|---|
| CENTRO DE SERVICOS MEDICOS CALLE MEDITACION #55-OFIC. 7B MAYAGUEZ PR, 00680, US |
|
| Phone | (787) 834-2003 |
| Fax | (787) 833-5272 |
| Business Location | |
|---|---|
| CENTRO DE SERVICOS MEDICOS CALLE MEDITACION #55-OFIC. 7B MAYAGUEZ PR, 00680, US |
|
| Phone | (787) 834-2003 |
| Fax | (787) 833-5272 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223X0400X |
| License State | Puerto Rico |
| License Number | 431 |
| Remove 1245504752 NPI Number | |
According to our database, Orthodontic Associates, Llc NPI is 1245504752, taxonomy code is 1223X0400X and license number is 431, license state is located at Puerto Rico. Orthodontic Associates, Llc physically located at Centro De Servicos Medicos, Mayaguez PR, 00680. NPI Number 1033115704 has the healthcare provider type.
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1245504752 NPI number is provided on an as is basis without warranty of any kind. 1245504752 is maintained by the National Plan & Provider Enumeration System. The contents of Orthodontic Associates, Llc are for informational purposes only.
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