Provider Demographics
NPI:1225134125
Name:FRONTERA-PHILIPPI, MIGUEL ANGEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:MIGUEL
Middle Name:ANGEL
Last Name:FRONTERA-PHILIPPI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2365
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-9365
Mailing Address - Country:US
Mailing Address - Phone:787-609-6565
Mailing Address - Fax:787-609-6585
Practice Address - Street 1:1356 AVE FELIX ALDARONDO SANTIAGO
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-5903
Practice Address - Country:US
Practice Address - Phone:787-609-6565
Practice Address - Fax:787-609-6585
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15351223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery