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NPI Code Detail

MEDICARE: CUIDADO DENTAL TERAPEUTICO, INC

MEDICARE: CUIDADO DENTAL TERAPEUTICO, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center1895PR

General Provider Information

NPI Number : 1487847943
Entity Type Code : Organization
Provider Name (Legal Business Name) : CUIDADO DENTAL TERAPEUTICO, INC
Provider Business Mailing Address
First Line : 215 CALLE TOUS SOTO
Second Line : URB. BALDRICH
City : SAN JUAN
State : PR
Zip : 00918-4312
Country : US
Telephone Number : 787-316-7091
Fax Number :
Provider Business Practice Location Address
First Line : 215 CALLE TOUS SOTO
Second Line : URB. BALDRICH
City : SAN JUAN
State : PR
Zip : 00918-4312
Country : US
Telephone Number : 787-316-7091
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CARLOS A LOPEZ
Credential : MD
Telephone Number : 787-316-7091
Provider Enumeration Date : 08/19/2007
Last Update Date : 08/19/2007

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Directions to “CUIDADO DENTAL TERAPEUTICO, INC ” Practice Location

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