DR. Carlos Juan Ponce De Leon, D.D.S.

NPI #1972710259 in Mayaguez, Puerto Rico

Provider Information

NPI Number: 1972710259
Entity Type: Individual
Name: DR. Carlos Juan Ponce De Leon, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: May 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: CARRETERA 105 KM 9 MAYAGUEZ ARRIBA SECTOR EL LIMON
Address 2: CENTRO DE DETENCION DEL OESTE
City: Mayaguez
State: Puerto Rico
ZIP Code: 00680
Phone: (787) 265-4465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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