Provider Demographics
NPI:1780700666
Name:BATLLE, JAIME (DMD)
Entity type:Individual
Prefix:DR
First Name:JAIME
Middle Name:
Last Name:BATLLE
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:HC 1 BOX 29030
Mailing Address - Street 2:PMB 398
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-8900
Mailing Address - Country:US
Mailing Address - Phone:787-789-5314
Mailing Address - Fax:
Practice Address - Street 1:CARIBBEAN CINEMAS PLAZA GUAYNABO
Practice Address - Street 2:SUITE 200 CD ESQUINA E
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-3481
Practice Address - Country:US
Practice Address - Phone:787-789-5314
Practice Address - Fax:787-789-5314
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2350122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist