Provider Demographics
NPI:1578809653
Name:FRAME GONZALEZ, JEAN PAUL (DMD)
Entity Type:Individual
Prefix:
First Name:JEAN PAUL
Middle Name:
Last Name:FRAME GONZALEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:JEAN PAUL
Other - Middle Name:
Other - Last Name:FRAME GONZALEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:PO BOX 366949
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-6949
Mailing Address - Country:US
Mailing Address - Phone:787-378-0622
Mailing Address - Fax:
Practice Address - Street 1:400 F.D. ROOSEVELT AVENUE
Practice Address - Street 2:SUITE 506
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-378-0622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-18
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR002971122300000X
PR29711223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist