Provider Demographics
NPI:1538123690
Name:DE JESUS, ARNALDO JUAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARNALDO
Middle Name:JUAN
Last Name:DE JESUS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1692 CALLE PARANA
Mailing Address - Street 2:EL CEREZAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-3144
Mailing Address - Country:US
Mailing Address - Phone:787-751-1593
Mailing Address - Fax:787-764-9271
Practice Address - Street 1:1692 CALLE PARANA
Practice Address - Street 2:EL CEREZAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-3144
Practice Address - Country:US
Practice Address - Phone:787-751-1593
Practice Address - Fax:787-764-9271
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3981223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics