| VR Smile Design | |
|
Office Park Iii Suite 205 Road #2 Mayaguez PR 00680 | |
| (787) 652-5550 | |
| (787) 652-5550 |
| Full Name | VR Smile Design |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | Office Park Iii, Mayaguez, Puerto Rico |
| Authorized Official Name and Position | Pedro Van Rhyn (PRESIDENT) |
| Authorized Official Contact | 7876525550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| VR Smile Design 400 Calle Calaf Suite 361 San Juan PR 00918-1314 Ph: (787) 652-5550 | VR Smile Design Office Park Iii Suite 205 Road #2 Mayaguez PR 00680 Ph: (787) 652-5550 |
| NPI Number | 1043509102 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043509102 | NPI | - | NPPES |
| 1154639524 | Other | PR | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2858 (NU) | Primary |
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