Provider Demographics
NPI:1275751414
Name:ITURREGUI, JOSE A (DDS MS)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:A
Last Name:ITURREGUI
Suffix:
Gender:M
Credentials:DDS MS
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Mailing Address - Street 1:90 CANDELERO DRIVE
Mailing Address - Street 2:VILLA #122
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791-7908
Mailing Address - Country:US
Mailing Address - Phone:787-280-5600
Mailing Address - Fax:787-280-5700
Practice Address - Street 1:CARR. 111 KM. 17.9, BO. GUATEMALA
Practice Address - Street 2:EDIFICIO VISTA VISION
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-280-5600
Practice Address - Fax:787-280-5700
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2021-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN00140971223G0001X, 1223P0700X
PR0016331223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No1223G0001XDental ProvidersDentistGeneral Practice