Ibg Psc
NPI #1679618011 in Guaynabo, Puerto Rico
Provider Information
- NPI Number
- 1679618011
- Entity Type
- Organization
- Organization Name
- Ibg Psc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- SUITE 202A,
- Address 2
- 107 AVE. GONZALEZ GUISTI
- City
- Guaynabo
- State
- Puerto Rico
- ZIP Code
- 00966
- Phone
- (787) 707-1977
Authorized Official
- Name
- DR. IRENE BANUCHI, D.M.D.
- Title
- PRESIDENT
- Phone
- (787) 707-1977
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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