Provider Demographics
NPI:1487664801
Name:ESPINET PEREZ, EFRAIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:EFRAIN
Middle Name:
Last Name:ESPINET PEREZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 CALLE MUNOZ RIVERA
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-2201
Mailing Address - Country:US
Mailing Address - Phone:787-829-0110
Mailing Address - Fax:787-829-1338
Practice Address - Street 1:22 CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601-2201
Practice Address - Country:US
Practice Address - Phone:787-829-0110
Practice Address - Fax:787-829-1338
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice