Provider Demographics
NPI:1275643579
Name:RECIO, MARIA E (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:E
Last Name:RECIO
Suffix:
Gender:F
Credentials:DMD
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Mailing Address - Street 1:368 CALLE DE DIEGO
Mailing Address - Street 2:OFIC. C-6
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-2916
Mailing Address - Country:US
Mailing Address - Phone:787-764-1590
Mailing Address - Fax:787-754-4363
Practice Address - Street 1:368 CALLE DE DIEGO
Practice Address - Street 2:OFIC. C-6
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-2916
Practice Address - Country:US
Practice Address - Phone:787-764-1590
Practice Address - Fax:787-754-4363
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR11541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice