Disla Pena, Jose

Disla Pena, Jose is an sole proprietor health care provider with primary practice located at 185 Calle Delbrey , Santurce PR 00911. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Disla Pena, Jose can be contacted via phone (787) 725-1703.

Contact Information

Primary practice address
185 Calle Delbrey Santurce PR 00911
Fax: (787) 724-4622
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 1978 Puerto Rico

Profile Details

NPI number 1215006648
LBN Legal business name Disla Pena, Jose
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215006648 NPPES
Puerto Rico Other 3856 INTERNATIONAL MEDICAL CAR
Puerto Rico Other 041560 INTERNATIONAL MEDICAL CAR

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