Huascar Jose Amador, DMD GPR

Individual provider Active NPI General Practice Dentistry · Rio Piedras, PR

NPI 1801987409 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801987409
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
1205 (PR)
Practice address
823 Ave San Patricio
Las Lomas
Rio Piedras, PR 00921-1311
Phone
(787) 781-8058
NPI assigned
Sep 27, 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
1205PRMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1205 PR Yes

Addresses

Primary practice location

823 Ave San Patricio
Las Lomas
Rio Piedras, PR 00921-1311

Mailing address

823 Ave San Patricio
Las Lomas
Rio Piedras, PR 00921-1311
Phone (787) 781-8058

Other providers in Rio Piedras, PR

All providers in Rio Piedras, PR · General Practice Dentistry in Puerto Rico

Sources for this page

Verify at the official NPI Registry.