| Sem Dental, Llc | |
|
904 Calle Marti Suite A-1 San Juan PR 00907-3302 | |
| (787) 725-5214 | |
| Not Available |
| Full Name | Sem Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 904 Calle Marti, San Juan, Puerto Rico |
| Authorized Official Name and Position | Suzette Espada Maldonado (DENTIST) |
| Authorized Official Contact | 7876917060 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sem Dental, Llc 904 Calle Marti Suite A-1 San Juan PR 00907-3302 Ph: (787) 725-5214 | Sem Dental, Llc 904 Calle Marti Suite A-1 San Juan PR 00907-3302 Ph: (787) 725-5214 |
| NPI Number | 1467805994 |
|---|---|
| Provider Enumeration Date | 07/20/2016 |
| Last Update Date | 07/20/2016 |
| Medicare PECOS PAC ID | 0840738530 |
|---|---|
| Medicare Enrollment ID | O20240813001541 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467805994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3032 (Puerto Rico) | Primary |
| Provider Name | Suzette Espada |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972858900 PECOS PAC ID: 1759829443 Enrollment ID: I20240813001686 |
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