Provider Demographics
NPI:1194787580
Name:ACARON, INES MARIA (DDS)
Entity type:Individual
Prefix:
First Name:INES
Middle Name:MARIA
Last Name:ACARON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 CALLE AGUADILLA
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1113
Mailing Address - Country:US
Mailing Address - Phone:787-782-1356
Mailing Address - Fax:787-977-2206
Practice Address - Street 1:52 CALLE AGUADILLA
Practice Address - Street 2:SUITE 1A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1113
Practice Address - Country:US
Practice Address - Phone:787-782-1356
Practice Address - Fax:787-977-2206
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice