Provider Demographics
NPI:1700941432
Name:OFICINA DENTAL DRES. VIERA Y NEGRON
Entity Type:Organization
Organization Name:OFICINA DENTAL DRES. VIERA Y NEGRON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:VIERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-734-6546
Mailing Address - Street 1:PO BOX 1774
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1774
Mailing Address - Country:US
Mailing Address - Phone:787-734-6546
Mailing Address - Fax:787-734-4233
Practice Address - Street 1:#10 ALMODOVAR ST.
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-1774
Practice Address - Country:US
Practice Address - Phone:787-734-6546
Practice Address - Fax:787-734-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty