Provider Demographics
NPI:1932169257
Name:ABREU GIRALD, CARLOS ENRIQUE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ENRIQUE
Last Name:ABREU GIRALD
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:PO BOX 1339
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-1339
Mailing Address - Country:US
Mailing Address - Phone:787-891-7570
Mailing Address - Fax:
Practice Address - Street 1:CARR 107 , KM 1.2
Practice Address - Street 2:BO. BORINQUEN #2020
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-2020
Practice Address - Country:US
Practice Address - Phone:787-891-7570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18241223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice