Corozal Health Professional Services, CSP
Organization Active NPI Dentist · Corozal, PR
NPI 1053977322 · NPPES record last updated Apr 18, 2022
Key facts
- NPI
- 1053977322
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- Legal business name
- COROZAL HEALTH PROFESSIONAL SERVICES, CSP
- Practice address
- Carr 159 # KM15.5
Corozal, PR 00783-2903 - Phone
- (787) 600-4288
- NPI assigned
- May 13, 2019
- Organization subpart
- No
Authorized official
- Name
- Julia M Perez Marzan, DMD
- Title
- Presidenta
- Phone
- (787) 600-4288
Practitioners 1
-
Julia Maria Perez, DDS
National Provider Directory
Locations
3143 HC 1
Corozal, PR 00783
Phone (787) 859-8318
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | Yes |
Addresses
Primary practice location
Carr 159 # KM15.5
Corozal, PR 00783-2903
Mailing address
HC 1 Box 3143
Corozal, PR 00783-9407
Phone (787) 600-4288
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457490377 | Other | PR | NPI |
Other providers in Corozal, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.