Provider Demographics
NPI:1346416831
Name:OFICINA DENTAL DRA. GINA THOMAS
Entity Type:Organization
Organization Name:OFICINA DENTAL DRA. GINA THOMAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-720-4267
Mailing Address - Street 1:URB MUNOZ RIVERA
Mailing Address - Street 2:5 CALLE ACERINA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-720-4267
Mailing Address - Fax:787-720-7717
Practice Address - Street 1:URB MUNOZ RIVERA
Practice Address - Street 2:5 CALLE ACERINA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-720-4267
Practice Address - Fax:787-720-7717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty