Jusino Cordova, Ariel O

Jusino Cordova, Ariel O is an sole proprietor health care provider with primary practice located at B12 Calle 2 Villa Real, Vega Baja PR 00693-5301. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Jusino Cordova, Ariel O can be contacted via phone (787) 858-5200.

Contact Information

Primary practice address
B12 Calle 2 Villa Real Vega Baja PR 00693-5301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1147 Puerto Rico

Profile Details

NPI number 1831263144
LBN Legal business name Jusino Cordova, Ariel O
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Mar 25th, 2016 - about 9 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 1831263144 NPPES
Puerto Rico Other 41050 DENTAL PROVIDER

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