Gamalier Ayala Cruz, DMD MSD

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Hatillo, PR

NPI 1316008550 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1316008550
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
2500 (PR)
Practice address
Carr 493 KM 09
Del Norte Professional Center Suite 205
Hatillo, PR 00659
Phone
(787) 880-0365
Fax
(787) 880-0365
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

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
2500PRMDOrthodontics and Dentofacial Orthopedic Dentist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2500 PR Yes

Addresses

Primary practice location

Carr 493 KM 09
Del Norte Professional Center Suite 205
Hatillo, PR 00659

Mailing address

PO Box 142031
Arecibo, PR 00614
Phone (787) 880-0365

Other providers in Hatillo, PR

All providers in Hatillo, PR · Orthodontics and Dentofacial Orthopedics Dentistry in Puerto Rico

Sources for this page

Verify at the official NPI Registry.