Provider Demographics
NPI:1740908623
Name:SERVICIOS DENTALES PSC
Entity type:Organization
Organization Name:SERVICIOS DENTALES PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-852-5808
Mailing Address - Street 1:PO BOX 1232
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1232
Mailing Address - Country:US
Mailing Address - Phone:787-852-5808
Mailing Address - Fax:787-850-0440
Practice Address - Street 1:60 CALLE DOLORES CABRERA ALONSO E
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-4269
Practice Address - Country:US
Practice Address - Phone:787-852-5808
Practice Address - Fax:787-850-0440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental