Provider Demographics
NPI:1871272740
Name:PROMS LLC
Entity type:Organization
Organization Name:PROMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL MAXILLOFACIAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:DEL PILAR
Authorized Official - Last Name:NUNEZ MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-903-0995
Mailing Address - Street 1:178 CALLE DOS HERMANOS
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-3008
Mailing Address - Country:US
Mailing Address - Phone:787-903-0995
Mailing Address - Fax:
Practice Address - Street 1:GUAYNABO RADIOLOGY AND MEDICAL PLAZA
Practice Address - Street 2:10 LAS CUMBRES AVE SUITE 201
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969
Practice Address - Country:US
Practice Address - Phone:787-604-8303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty