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 |
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Address | 185 Calle Delbrey, Santurce, Puerto Rico |
Phone Number | 7877251703 |
Fax Number | 7877244622 |
Sole Proprietor | Y |
Credentials | DMD |
NPI Number Detail
NPI Number | 1215006648 |
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Provider Enumeration Date | 2006-11-07 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 185 Calle Delbrey |
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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 |
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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 |
Post Comment/ Review Below
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.