Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0221X | Pediatric Dentist | 2611 | PR |
N | 1223X0400X | Orthodontists | 2611 | PR |
NPI | 1063489094 |
---|---|
Provider Name | Dr. Celimar Busquets |
First Address | San Juan, PR 00926 |
Second Address | San Juan, PR 00926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 08/07/2007 |