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Provider Information for 1760868087

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. PEDRO MANUEL ALBISU DMD

Gender: MALE

Individual NPI: 1760868087

Calendar   Last Updated:  2015-08-10
  Certification Date: 

Details

Name Value
NPI 1760868087
Enumeration Date 2015-08-10
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 8020 DANCING WIND LN APT 105
NAPLES, FL 34119-9660
United States

Phone: 754-246-7112 | Fax: 239-573-4867
View Map External Link
Primary Practice Address 8020 DANCING WIND LN APT 105
NAPLES, FL 34119-9660
United States

Phone: 754-246-7112 | Fax: 239-573-4867
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Other DENTAL LICENSE FL DN 21529
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 122300000X - Dentist FL DN 21529