Provider Demographics
NPI:1851401145
Name:JUNQUEIRA, ALOYSIO GRIBEL (DDS)
Entity Type:Individual
Prefix:
First Name:ALOYSIO
Middle Name:GRIBEL
Last Name:JUNQUEIRA
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:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0188
Mailing Address - Country:US
Mailing Address - Phone:787-892-1010
Mailing Address - Fax:787-892-1011
Practice Address - Street 1:SON GERMAN MEDICAL PLAZA CARR 2 KM 174
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-0188
Practice Address - Country:US
Practice Address - Phone:787-892-1010
Practice Address - Fax:787-892-1011
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26161223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics