Provider Demographics
NPI:1407964224
Name:JUARBE, JULIA MARGARITA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:MARGARITA
Last Name:JUARBE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1313
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-1313
Mailing Address - Country:US
Mailing Address - Phone:787-830-0653
Mailing Address - Fax:
Practice Address - Street 1:CARR. 474 KM 1.9
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-1313
Practice Address - Country:US
Practice Address - Phone:787-830-0653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6620094OtherHUMANA
PR041788OtherCRUZ AZUL
PR42133OtherTRIPLE S
PR70362OtherPREFERRED MEDICAL CHOICE
PR900299OtherAMERICAN HEALTH
PR206666OtherPREFERRED HEALTH
PR8330OtherINTERNATIONAL MEDICAL CAR