Provider Demographics
NPI:1508872383
Name:GARAY, NEYZA E (DMD)
Entity Type:Individual
Prefix:DR
First Name:NEYZA
Middle Name:E
Last Name:GARAY
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:#2004 AVE BORINQUEN
Mailing Address - Street 2:BO OBRERO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00915
Mailing Address - Country:US
Mailing Address - Phone:787-982-3411
Mailing Address - Fax:787-982-3411
Practice Address - Street 1:#2004 AVE BORINQUEN
Practice Address - Street 2:BO OBRERO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00915
Practice Address - Country:US
Practice Address - Phone:787-982-3411
Practice Address - Fax:787-982-3411
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR27311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice