Provider Demographics
NPI:1417099375
Name:ANGLADA, BLANCA (DMD)
Entity Type:Individual
Prefix:DR
First Name:BLANCA
Middle Name:
Last Name:ANGLADA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 CALLE TIBER
Mailing Address - Street 2:EL PARAISO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2945
Mailing Address - Country:US
Mailing Address - Phone:787-767-7106
Mailing Address - Fax:787-749-9274
Practice Address - Street 1:EDIFICIO DR. ARTURO CADILLA VINAS
Practice Address - Street 2:SUITE 506 PASEO SAN PABLO 100
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-740-2770
Practice Address - Fax:787-740-2770
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice