Provider Demographics
NPI:1033114046
Name:BARNECET LUGO, OSVALDO (DMD)
Entity Type:Individual
Prefix:DR
First Name:OSVALDO
Middle Name:
Last Name:BARNECET LUGO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CARRETERA # 1 A-6
Mailing Address - Street 2:VILLA DEL REY
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-6157
Mailing Address - Country:US
Mailing Address - Phone:787-746-0196
Mailing Address - Fax:787-258-0262
Practice Address - Street 1:CARRETERA # 1 A-6
Practice Address - Street 2:VILLA DEL REY
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6157
Practice Address - Country:US
Practice Address - Phone:787-746-0196
Practice Address - Fax:787-258-0262
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16081223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry