| Amanecer Mutuo, Psc | |
|
5725 Blvd. Media Luna, Suite # 5 Galerias De Escorial Shopping Center Carolina PR 00987 | |
| (787) 453-0563 | |
| Not Available |
| Full Name | Amanecer Mutuo, Psc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 5725 Blvd. Media Luna, Suite # 5, Carolina, Puerto Rico |
| Authorized Official Name and Position | Jose A Lopez-calero (PRESIDENT) |
| Authorized Official Contact | 7874530563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amanecer Mutuo, Psc Po Box 1893 Carolina PR 00984-1893 Ph: (787) 453-0563 | Amanecer Mutuo, Psc 5725 Blvd. Media Luna, Suite # 5 Galerias De Escorial Shopping Center Carolina PR 00987 Ph: (787) 453-0563 |
| NPI Number | 1801115605 |
|---|---|
| Provider Enumeration Date | 05/19/2010 |
| Last Update Date | 05/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801115605 | NPI | - | NPPES |
| BX187A | Other | PR | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 2751 (Puerto Rico) | Primary |
| 208D00000X | General Practice | 16005 (Puerto Rico) | Secondary |
Sky Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 Ave Monserrate, Carolina, PR 00983 Phone: 787-750-2886 | |
The Dental Solutions Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave Fernandez Juncos Esq Molinillo, Piso 4, Carolina, PR 00988 Phone: 787-753-5085 | |
Puerto Rico Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Via Mirta 3 Ds-1, Villa Fontana, Carolina, PR 00983 Phone: 787-776-0570 Fax: 787-776-0570 | |
Roc Dental Services, P.sc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave. Roberto Clemente, 24-8 Villa Carolina, Carolina, PR 00985 Phone: 787-757-3080 Fax: 787-757-3080 | |
Servicios De Salud Oral, Csp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 Calle Marginal Villamar, Carolina, PR 00979 Phone: 787-727-8960 Fax: 787-726-0802 | |
Clinica Dental Doz Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1075 Calle Marginal Villamar Ext. Villamar, Isla Verde, Carolina, PR 00979 Phone: 787-727-3550 Fax: 787-728-6855 | |
Pereira And Associates Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Bh12 Calle 110, Valle Arriba Heights, Carolina, PR 00983 Phone: 787-757-5665 |