Provider Demographics
NPI:1396891446
Name:ONIRRUTI R&M CORP
Entity type:Organization
Organization Name:ONIRRUTI R&M CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:RAUL
Authorized Official - Last Name:ITURRINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-256-3115
Mailing Address - Street 1:PO BOX 1617
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-1617
Mailing Address - Country:US
Mailing Address - Phone:787-256-3115
Mailing Address - Fax:787-256-3115
Practice Address - Street 1:HERNAIZ PALMER AVE. # 74
Practice Address - Street 2:SUITE #2
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-1617
Practice Address - Country:US
Practice Address - Phone:787-256-3115
Practice Address - Fax:787-256-3115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty