Jose Disla Pena in Santurce - Oral And Maxillofacial Surgery

Jose Disla Pena - NPI 1215006648

Jose Disla Pena is a Oral And Maxillofacial Surgery in Santurce, Puerto Rico. Jose Disla Pena practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jose Disla Pena is 1215006648. The last update date is 2007-07-08.

Jose Disla Pena's current location address is 185 Calle Delbrey, Santurce, Puerto Rico. You can contact this provider via phone number 7877251703 and fax number 7877244622. The mailing address for Jose Disla Pena is 185 Calle Delbrey, Santurce, Puerto Rico. To know further, please read the information below!

Provider Profile Detail

Provider Name Jose Disla Pena
Address 185 Calle Delbrey, Santurce, Puerto Rico
Phone Number 7877251703
Fax Number 7877244622
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1215006648
Provider Enumeration Date 2006-11-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 185 Calle Delbrey
City Santurce
State Puerto Rico (PR)
Post Code 911
Phone Number 7877251703
Fax Number 7877244622

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 1978
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3856 PR INTERNATIONAL MEDICAL CAR
41560 PR CRUZ AZUL

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FAQs about Jose Disla Pena

What is the unique 10-digit identifier code assigned to Jose Disla Pena by the Centers for Medicare & Medicaid Services?

The Jose Disla Pena has been issued the NPI (National Provider Identifier) 1215006648 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jose Disla Pena is located?

The Jose Disla Pena is situated at the following address: 185 Calle Delbrey, Santurce, PR, 911.

What is the Jose Disla Pena's specialty and taxonomy code?

The Jose Disla Pena's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.

On what date did the Jose Disla Pena receive the assignment of its 1215006648 from the Centers for Medicare & Medicaid Services?

The Jose Disla Pena was issued its 1215006648 by the Centers for Medicare & Medicaid Services on 2006-11-07.

When was the information related to Jose Disla Pena most recently updated or refreshed?

The details pertaining to the Jose Disla Pena, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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