Provider Demographics
NPI:1972936664
Name:JAMES HO DMD MPH
Entity Type:Organization
Organization Name:JAMES HO DMD MPH
Other - Org Name:PROGRESSIVE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:GELY
Authorized Official - Suffix:
Authorized Official - Credentials:AINS ARM
Authorized Official - Phone:787-565-3046
Mailing Address - Street 1:204 CALLE SAN JOSE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-1515
Mailing Address - Country:US
Mailing Address - Phone:787-729-3366
Mailing Address - Fax:787-729-5544
Practice Address - Street 1:204 CALLE SAN JOSE
Practice Address - Street 2:SUITE 2A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901-1515
Practice Address - Country:US
Practice Address - Phone:787-729-3366
Practice Address - Fax:787-729-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty