| Jrrdmd Psc | |
|
Carr 2 Km 95.4 Bo Yeguada Camuy PR 00627 | |
| (787) 262-5555 | |
| Not Available |
| Full Name | Jrrdmd Psc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Carr 2 Km 95.4 Bo Yeguada, Camuy, Puerto Rico |
| Authorized Official Name and Position | Johanna Roman Rocca (OWNER/ DENTIST) |
| Authorized Official Contact | 7872625555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jrrdmd Psc Hc 1 Box 7268 Hatillo PR 00659-7335 Ph: (787) 262-5555 | Jrrdmd Psc Carr 2 Km 95.4 Bo Yeguada Camuy PR 00627 Ph: (787) 262-5555 |
| NPI Number | 1013417690 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013417690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2737 (Puerto Rico) | Primary |
Consultorio Dental Dra Otero Padro Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: Carr 2 Km 93.9 Bo Membrillo, Camuy, PR 00627 Phone: 787-262-4074 Fax: 787-262-4074 |