NPI: 1215585906 · SAN JUAN, PR 00917 · Prosthodontist · NPI assigned 08/27/2019
| Authorized Official | DIAZ RUBAYO, DAVID (PRESIDENT) |
| NPI Enumeration Date | 08/27/2019 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 25 | $353.24 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1999 | 25 | 13 | $353.24 |