Provider Demographics
NPI:1760221899
Name:ISMILE DRA. ALICE M. ARROYO JULIA PSC
Entity type:Organization
Organization Name:ISMILE DRA. ALICE M. ARROYO JULIA PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ARROYO-JULIA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-633-0457
Mailing Address - Street 1:621 CALLE CUENCA URB LA CIMA I
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727
Mailing Address - Country:US
Mailing Address - Phone:787-633-0457
Mailing Address - Fax:
Practice Address - Street 1:LIBERTY OFFICE PLAZA, SUITE 4
Practice Address - Street 2:CARR 735 KM 0.4
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-595-8045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty