Healthcare Provider Details

I. General information

NPI: 1215922877
Provider Name (Legal Business Name): ADLIN PABON DMD,MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 03/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

A2 MIGUEL MELENDEZ MUNOZ AVE
CAYEY PR
00736
US

IV. Provider business mailing address

PO BOX 1850
CAYEY PR
00737-1850
US

V. Phone/Fax

Practice location:
  • Phone: 787-738-4914
  • Fax: 787-738-4088
Mailing address:
  • Phone: 787-738-4914
  • Fax: 787-738-4088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number1918
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: