Provider Demographics
NPI:1770048290
Name:FERRARI ENDO PCS
Entity type:Organization
Organization Name:FERRARI ENDO PCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:JUAN
Authorized Official - Last Name:FERRARI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD
Authorized Official - Phone:787-399-8875
Mailing Address - Street 1:PO BOX 988
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605-0988
Mailing Address - Country:US
Mailing Address - Phone:787-399-8875
Mailing Address - Fax:787-991-1300
Practice Address - Street 1:CALLE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-997-3000
Practice Address - Fax:787-997-1300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FERRARI ENDO PCS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty