| Servicios De Endodoncia Del Sur | |
|
128 Calle Ashford S Ste 204 Guayama PR 00784-5411 | |
| (787) 866-6406 | |
| (787) 864-0189 |
| Full Name | Servicios De Endodoncia Del Sur |
|---|---|
| Speciality | Clinic/center |
| Location | 128 Calle Ashford S Ste 204, Guayama, Puerto Rico |
| Authorized Official Name and Position | Arhimazda Jimenez (ENDODONTIST/OWNER) |
| Authorized Official Contact | 7878666406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Servicios De Endodoncia Del Sur Po Box 1499 Guayama PR 00785-1499 Ph: (787) 866-6406 | Servicios De Endodoncia Del Sur 128 Calle Ashford S Ste 204 Guayama PR 00784-5411 Ph: (787) 866-6406 |
| NPI Number | 1699933606 |
|---|---|
| Provider Enumeration Date | 05/27/2008 |
| Last Update Date | 05/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699933606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2315 (Puerto Rico) | Primary |
Luis Adrian Rivera Pomales, Md, Mba, Mph, Ccd, Dabbm, Csp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: Calle Ashford #62 Norte, Guayama, PR 00784 Phone: 787-864-6570 Fax: 787-866-8298 | |
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Xanarte, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Ave. Pedro Albizu Campos, Urb. La Hacienda, Hospital Menonita De Guayama Suite 301, Guayama, PR 00784 Phone: 787-558-7038 | |
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