| Jrl Dental Services | |
|
Ave Luis Munoz Marin, Villa Carmen I-20 Caguas PR 00972 | |
| (787) 258-4090 | |
| Not Available |
| Full Name | Jrl Dental Services |
|---|---|
| Speciality | Dentist |
| Location | Ave Luis Munoz Marin, Villa Carmen, Caguas, Puerto Rico |
| Authorized Official Name and Position | Junarys Rivera Lebron (PRESIDENT) |
| Authorized Official Contact | 7875852820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jrl Dental Services Po Box 1090 Yabucoa PR 00767-1090 | Jrl Dental Services Ave Luis Munoz Marin, Villa Carmen I-20 Caguas PR 00972 Ph: (787) 258-4090 |
| NPI Number | 1386371409 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 04/25/2023 |
| Certification Date | 04/25/2023 |
| Medicare PECOS PAC ID | 2062882624 |
|---|---|
| Medicare Enrollment ID | O20221223001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386371409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
| Provider Name | Junarys Rivera Lebron |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790366474 PECOS PAC ID: 3971973538 Enrollment ID: I20221223001176 |
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