Mangual, Donald

Mangual, Donald is an sole proprietor health care provider with primary practice located at 400 Ave Fd Roosevelt Off. 512, San Juan PR 00918-2103. He recently has only one registered license in Dental Providers / Prosthodontics, which is considered as his primary health care specialty. Mangual, Donald can be contacted via phone (787) 756-6380.

Contact Information

Primary practice address
400 Ave Fd Roosevelt Off. 512 San Juan PR 00918-2103
Fax: (787) 756-6381
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 801 Puerto Rico

Profile Details

NPI number 1518158252
LBN Legal business name Mangual, Donald
Credentials DMD,MSD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2007
Last updated Oct 26th, 2022 - about 2 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 1518158252 NPPES
Puerto Rico MEDICAID 039086300

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