| Servicios Dentales DDS, LLC | |
|
2053 Centro Caribe Ponce By Pass Suite 101 Ponce PR 00730-0000 | |
| (787) 812-1010 | |
| Not Available |
| Full Name | Servicios Dentales DDS, LLC |
|---|---|
| Speciality | Dentist |
| Location | 2053 Centro Caribe Ponce By Pass Suite 101, Ponce, Puerto Rico |
| Authorized Official Name and Position | Daniel Soto (PRESIDENT) |
| Authorized Official Contact | 7874322708 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Servicios Dentales DDS, LLC Po Box 800485 Coto Laurel PR 00780-0485 Ph: (787) 432-2708 | Servicios Dentales DDS, LLC 2053 Centro Caribe Ponce By Pass Suite 101 Ponce PR 00730-0000 Ph: (787) 812-1010 |
| NPI Number | 1700558541 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 11/12/2021 |
| Certification Date | 11/12/2021 |
| Medicare PECOS PAC ID | 1052700077 |
|---|---|
| Medicare Enrollment ID | O20211112002156 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700558541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
| Provider Name | Daniel Soto Soto |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1316614647 PECOS PAC ID: 3870982895 Enrollment ID: I20211112002288 |
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