| FC Titanium PSC | |
|
Bayamon Gardens Bb12 C Street Bayamon PR 00957-2467 | |
| (787) 409-4295 | |
| Not Available |
| Full Name | FC Titanium PSC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Bayamon Gardens, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Carlos Antonio Izcoa (PRESIDENT) |
| Authorized Official Contact | 7874094295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| FC Titanium PSC Bayamon Gardens Bb12 C Street Bayamon PR 00957-2467 | FC Titanium PSC Bayamon Gardens Bb12 C Street Bayamon PR 00957-2467 Ph: (787) 409-4295 |
| NPI Number | 1225451305 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 01/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225451305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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