Selma Basora in San German - Pediatric Dentistry
Selma Basora - NPI 1205804119
Selma Basora is a Pediatric Dentistry in San German, Puerto Rico. Selma Basora practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Selma Basora is 1205804119. The last update date is 2007-07-08.
Selma Basora's current location address is Hc 1 Box 25708, San German, Puerto Rico. You can contact this provider via phone number 7878920585 and fax number 7878920585. The mailing address for Selma Basora is Hc 1 Box 25708, San German, Puerto Rico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Selma Basora |
|---|---|
| Address | Hc 1 Box 25708, San German, Puerto Rico |
| Phone Number | 7878920585 |
| Fax Number | 7878920585 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1205804119 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Hc 1 Box 25708 |
|---|---|
| City | San German |
| State | Puerto Rico (PR) |
| Post Code | 6839806 |
| Phone Number | 7878920585 |
| Fax Number | 7878920585 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 2510 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2510 | PA | STATE LISENCE |
Post Comment/ Review Below
What is the unique identifier code issued to Selma Basora by the Centers for Medicare & Medicaid Services (CMS)?
The Selma Basora has been assigned the NPI (National Provider Identifier) 1205804119. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Selma Basora's facilities are geographically located?
The facilities of Selma Basora are physically situated at the following location: Hc 1 Box 25708, San German, PR, 6839806.
What is the Selma Basora's area of specialization and corresponding taxonomy classification?
The Selma Basora's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1205804119 to Selma Basora?
The Selma Basora received its 1205804119 assignment from the Centers for Medicare & Medicaid Services on 2006-03-08.
When was the Selma Basora's information last updated?
The Selma Basora's information was last updated on 2007-07-08.