Healthcare Provider Details

I. General information

NPI: 1053232736
Provider Name (Legal Business Name): KORE GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 AVE ARTERIAL HOSTOS STE 1103
SAN JUAN PR
00918-1477
US

IV. Provider business mailing address

239 AVE ARTERIAL HOSTOS STE 1103
SAN JUAN PR
00918-1477
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-7747
  • Fax:
Mailing address:
  • Phone: 787-754-7747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE R FELICIANO
Title or Position: GENERAL MANAGER/DIRECTOR
Credential:
Phone: 787-942-4570