Provider Demographics
NPI:1013423540
Name:OFICINA DENTAL DRA. VALERIE CUEVAS CANDELARIO, L.L.C
Entity Type:Organization
Organization Name:OFICINA DENTAL DRA. VALERIE CUEVAS CANDELARIO, L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CUEVAS CANDELARIO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-648-9819
Mailing Address - Street 1:PO BOX 50046
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-0046
Mailing Address - Country:US
Mailing Address - Phone:787-648-9819
Mailing Address - Fax:
Practice Address - Street 1:AVE LUIS MUNOZ MARIN CARR 155
Practice Address - Street 2:SECTOR EL DESVIO
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720
Practice Address - Country:US
Practice Address - Phone:787-867-5900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental