| Organization Name: | CONSOLIDATED DENTAL OFFICE PSC |
| NPI Number: | 1023349537 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PEDRO GERARDO COLON (PRESIDENT) |
| Mailing Address: | Consolidated Medical Plaza ,ave. Gautier Benitez Suite 202 Caguas |
| State: | PR US |
| Postal Code: | 00725 |
| Phone Number: | 7877432128 |
| Fax Number: | 7877432128 |
| NPI Enumeration Date: | 01/22/2010 |
| NPI Last Update Date: | 01/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | 1889 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |