Provider Demographics
NPI:1427067032
Name:GIL, MARIANNE (DMD)
Entity type:Individual
Prefix:
First Name:MARIANNE
Middle Name:
Last Name:GIL
Suffix:
Gender:F
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:CALLE 25 DE JULIO #64
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00000-0637
Mailing Address - Country:US
Mailing Address - Phone:787-873-5150
Mailing Address - Fax:787-873-5150
Practice Address - Street 1:64 CALLE 25 DE JULIO
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1704
Practice Address - Country:US
Practice Address - Phone:787-873-5150
Practice Address - Fax:787-873-5150
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24921223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry