Provider Demographics
NPI:1366151987
Name:CLINICA DENTAL LIRANZA
Entity type:Organization
Organization Name:CLINICA DENTAL LIRANZA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIRANZA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-447-1884
Mailing Address - Street 1:CALLE FARAGAN #40
Mailing Address - Street 2:CHALETS DE VILLA ANDALUCIA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-447-1884
Mailing Address - Fax:
Practice Address - Street 1:CALLE CABO MAXIMO ALOMAR
Practice Address - Street 2:1173 SAN AGUSTIN
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925
Practice Address - Country:US
Practice Address - Phone:787-447-1884
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty