Suris, Jose Antonio

Suris, Jose Antonio is an sole proprietor health care provider with primary practice located at 400 Roosevelt Ave Suite 502, San Juan PR 00918. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Suris, Jose Antonio can be contacted via phone (787) 756-5252.

Contact Information

Primary practice address
400 Roosevelt Ave Suite 502 San Juan PR 00918
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 626 Puerto Rico

Profile Details

NPI number 1184734683
LBN Legal business name Suris, Jose Antonio
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 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 1184734683 NPPES
Puerto Rico Other 626 STATE LICENCE

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