Provider Demographics
NPI:1972807485
Name:JOVE DENTAL, P.S.C.
Entity Type:Organization
Organization Name:JOVE DENTAL, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-878-2431
Mailing Address - Street 1:AVENIDA JOSE DEDIEGO
Mailing Address - Street 2:214
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613
Mailing Address - Country:US
Mailing Address - Phone:787-878-2431
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA DE DIEGO #214
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-2431
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-28
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2513261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service