Raul Alcoba, DMD

Individual provider Active NPI General Practice Dentistry · Caguas, PR

NPI 1104835172 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1104835172
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0826 (PR)
Practice address
G34 Ave Pino
Villa Turabo
Caguas, PR 00725-6145
Phone
(787) 743-8480
Fax
(787) 743-8480
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0826PRMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0826 PR Yes

Addresses

Primary practice location

G34 Ave Pino
Villa Turabo
Caguas, PR 00725-6145

Mailing address

PO Box 7304
Caguas, PR 00726-7304
Phone (787) 743-8480

Other providers in Caguas, PR

All providers in Caguas, PR · General Practice Dentistry in Puerto Rico

Sources for this page

Verify at the official NPI Registry.