NPI 1548853179
Pda Maxillofacial Surgery LLC
Practice location
- Address
- 107 Calle Ortegon Suite 100 Caparra Gallery Plaza, Ave. Gonzalez Giusti, Guaynabo, PR 00966
- Phone
- (787) 425-0526
- Mailing address
- PO Box 366255, San Juan, PR 00936-6255
Authorised official
- Name
- Patricia del Pilar
- Title
- DMD, President
- Phone
- (787) 425-0526
Registered specialties
Oral & Maxillofacial Surgery (D.M.D.)
Primary
Registry record
- NPI
- 1548853179
- Entity type
- Organization
- NPI issued
- 15 Feb 2021
- Record last updated
- 15 Feb 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.