Puerta, Diva Isabel

Puerta, Diva Isabel is an sole proprietor health care provider with primary practice located at 3545 79Th St , Jackson Heights NY 11372-4818. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Puerta, Diva Isabel can be contacted via phone (718) 335-1331.

Contact Information

Primary practice address
3545 79Th St Jackson Heights NY 11372-4818
Phone: (718) 335-1331
Fax: (718) 396-2593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 052894 New York

Profile Details

NPI number 1275696502
LBN Legal business name Puerta, Diva Isabel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 18th, 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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