Provider Demographics
NPI:1487779500
Name:DENTISTAS ALEMANY PONS
Entity type:Organization
Organization Name:DENTISTAS ALEMANY PONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:ALEMANY PONS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-833-5580
Mailing Address - Street 1:20 CALLE AMATISTA
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-2504
Mailing Address - Country:US
Mailing Address - Phone:787-832-3233
Mailing Address - Fax:787-834-2770
Practice Address - Street 1:MAYAGUEZ MALL 975 AVE HOSTOS
Practice Address - Street 2:SUITE 2205
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-1257
Practice Address - Country:US
Practice Address - Phone:787-833-5580
Practice Address - Fax:787-834-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16161223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty