CLINICA LAS AMERICAS GUAYNABO, INC
NPI: 1003033747
· BAYAMON, PR 00969
· Pediatric Dentist
· NPI assigned 04/20/2007
$400.65
Total Medicaid Paid
Provider Details
| Authorized Official | TOLEDO NUNEZ, NURY (SVP & PHARMACY STRATEGY) |
| Parent Organization | CLINICA LAS AMERICAS GUAYNABO, INC |
| NPI Enumeration Date | 04/20/2007 |
Related Entities
Other providers sharing the same authorized official: TOLEDO NUNEZ, NURY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
15 |
$400.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
Prophylaxis - adult |
15 |
13 |
$400.65 |