Healthcare Provider Details

I. General information

NPI: 1679560148
Provider Name (Legal Business Name): NORBERTO PEREZ-MONTES DMD, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2005
Last Update Date: 05/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

534 AVE ESCORIAL CAPARRA HEIGHTS
SAN JUAN PR
00920-4705
US

IV. Provider business mailing address

534 AVE ESCORIAL CAPARRA HEIGHTS
SAN JUAN PR
00920-4705
US

V. Phone/Fax

Practice location:
  • Phone: 787-793-6275
  • Fax: 787-781-6461
Mailing address:
  • Phone: 787-793-6275
  • Fax: 787-781-6461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number879
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: