Provider Demographics
NPI:1679560148
Name:PEREZ-MONTES, NORBERTO (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:NORBERTO
Middle Name:
Last Name:PEREZ-MONTES
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:534 AVE ESCORIAL
Mailing Address - Street 2:CAPARRA HEIGHTS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00920-4705
Mailing Address - Country:US
Mailing Address - Phone:787-793-6275
Mailing Address - Fax:787-781-6461
Practice Address - Street 1:534 AVE ESCORIAL
Practice Address - Street 2:CAPARRA HEIGHTS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00920-4705
Practice Address - Country:US
Practice Address - Phone:787-793-6275
Practice Address - Fax:787-781-6461
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8791223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics