Provider Demographics
NPI:1790718948
Name:LAGUNA, ANA C (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:C
Last Name:LAGUNA
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:PO BOX 2297
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00970-2297
Mailing Address - Country:US
Mailing Address - Phone:787-287-7580
Mailing Address - Fax:787-287-7580
Practice Address - Street 1:URB COLIMAR CALLE RAFAEL HERNANDEZ 66
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00970-2297
Practice Address - Country:US
Practice Address - Phone:787-287-7580
Practice Address - Fax:787-287-7580
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21991223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice