Portuondo, Juan Carlos

Portuondo, Juan Carlos is an individual health care provider with primary practice located at 7150 W 20Th Ave Ste 102 , Hialeah FL 33016-5509. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Portuondo, Juan Carlos can be contacted via phone (305) 556-5600.

Contact Information

Primary practice address
7150 W 20Th Ave Ste 102 Hialeah FL 33016-5509
Phone: (305) 556-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN 10130 Florida

Profile Details

NPI number 1952425639
LBN Legal business name Portuondo, Juan Carlos
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2007
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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