Provider Demographics
NPI:1215936307
Name:AYMAT, NOEL JOAQUIN (DMD)
Entity type:Individual
Prefix:DR
First Name:NOEL
Middle Name:JOAQUIN
Last Name:AYMAT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 364843
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-4843
Mailing Address - Country:US
Mailing Address - Phone:787-765-2679
Mailing Address - Fax:787-753-3934
Practice Address - Street 1:282 AVE PINERO
Practice Address - Street 2:PLAZA EL AMAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-3918
Practice Address - Country:US
Practice Address - Phone:787-765-2679
Practice Address - Fax:787-753-3934
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR19801223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry