Provider Demographics
NPI:1093844557
Name:NUBIA E GALEANO D.M.D., P.A.
Entity Type:Organization
Organization Name:NUBIA E GALEANO D.M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:NUBIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:GALEANO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:561-204-1719
Mailing Address - Street 1:10399 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4339
Mailing Address - Country:US
Mailing Address - Phone:561-204-1719
Mailing Address - Fax:
Practice Address - Street 1:10399 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4339
Practice Address - Country:US
Practice Address - Phone:561-204-1719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty