Provider Demographics
NPI:1730271214
Name:BORGES, DEBRA LORRAINE (D RA)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:LORRAINE
Last Name:BORGES
Suffix:
Gender:F
Credentials:D RA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 633
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PA
Mailing Address - Zip Code:00659
Mailing Address - Country:US
Mailing Address - Phone:787-898-5298
Mailing Address - Fax:787-898-5298
Practice Address - Street 1:CALLE M LA COMBA
Practice Address - Street 2:#55
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:787-898-5298
Practice Address - Fax:787-898-5298
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2363122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist