Provider Demographics
NPI:1942331871
Name:A T PLATINUM CORPORATION
Entity type:Organization
Organization Name:A T PLATINUM CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:TOMAS
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-779-7171
Mailing Address - Street 1:URB. SANTA CRUZ
Mailing Address - Street 2:D-9 CALLE 1
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961
Mailing Address - Country:US
Mailing Address - Phone:787-779-7171
Mailing Address - Fax:787-785-6800
Practice Address - Street 1:URB. SANTA CRUZ
Practice Address - Street 2:D-9 CALLE 1
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-779-7171
Practice Address - Fax:787-785-6800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty