Provider Demographics
NPI:1467836023
Name:BACHIER, JOSE MANUEL (DMD)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:MANUEL
Last Name:BACHIER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:632 CALLE YAUREL
Mailing Address - Street 2:ALTURAS DE MAYAGUEZ
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-6233
Mailing Address - Country:US
Mailing Address - Phone:787-934-5141
Mailing Address - Fax:
Practice Address - Street 1:36 CALLE BARBOSA
Practice Address - Street 2:
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662-2912
Practice Address - Country:US
Practice Address - Phone:787-872-0005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice