Cirugia Oral Y Maxilofacial Cla CSP

Organization Active NPI Oral and Maxillofacial Surgery Clinic/Center · Hato Rey, PR

NPI 1679625909 · NPPES record last updated Jun 18, 2008

Key facts

NPI
1679625909
Entity type
Organization (NPI type 2)
Primary specialty
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X
License
722 (PR)
Legal business name
CIRUGIA ORAL Y MAXILOFACIAL CLA CSP
Practice address
Suite 503 #400 FD Ave Roosevelt
Clinica Las Americas
Hato Rey, PR 00918
Phone
(787) 756-5300
NPI assigned
Jan 17, 2007
Organization subpart
No

Authorized official

Name
Dr. Julio E Guzman
Title
Partner
Phone
(787) 756-5300

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

400 Ave Fd Roosevelt
Ste 503
San Juan, PR 00918
Phone (787) 756-5300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 722 PR Yes
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 1699 PR
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 2590 PR

Addresses

Primary practice location

Suite 503 #400 FD Ave Roosevelt
Clinica Las Americas
Hato Rey, PR 00918

Mailing address

Suite 503 #400 FD Ave Roosevelt
Clinica Las Americas
Hato Rey, PR 00918
Phone (787) 756-5300

Other identifiers

IdentifierTypeStateIssuer
1710095351OtherPRNPI
1942232871OtherPRNPI
1811003700OtherPRNPI

Other providers in Hato Rey, PR

All providers in Hato Rey, PR · Oral and Maxillofacial Surgery Clinic/Center in Puerto Rico

Sources for this page

Verify at the official NPI Registry.