Provider Demographics
NPI:1215314901
Name:DRA. MARIA M UMPIERRE, PSC
Entity type:Organization
Organization Name:DRA. MARIA M UMPIERRE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:UMPIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:787-467-5118
Mailing Address - Street 1:84 CALLE ESMERALDA
Mailing Address - Street 2:CIELO DORADO VILLAGE
Mailing Address - City:VEGA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00692-8808
Mailing Address - Country:US
Mailing Address - Phone:787-467-5118
Mailing Address - Fax:
Practice Address - Street 1:84 CALLE ESMERALDA
Practice Address - Street 2:CIELO DORADO VILLAGE
Practice Address - City:VEGA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00692-8808
Practice Address - Country:US
Practice Address - Phone:787-467-5118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2467122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty