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Dr. Jose Antonio Rivero Sutil, DMD
Dentist Anesthesiologist in Bronx, New York
NPI 1417212937

Jose Antonio Rivero Sutil is a Dentist Anesthesiologist based in Long Island City, NY and is specialized in Dentist Anesthesiologist. Jose Antonio Rivero Sutil practices in Bronx, NY and has the professional credentials of DMD. The NPI Number for Jose Antonio Rivero Sutil is 1417212937 and holds a License No. (New York).

The current practice location address for Jose Antonio Rivero Sutil is 4422 3Rd Ave, Bronx, NY and can be reached out via phone at 718-960-3730.

Location: 4422 3Rd Ave, Bronx, NY, 11101-4659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417212937
Provider Name
Jose Antonio Rivero Sutil
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
4422 3Rd Ave, Bronx, NY, 11101-4659
Phone Number
718-960-3730
Fax Number
Provider Enumeration Date
07/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4422 3Rd Ave
City
Bronx
State
New York
Zip
10457-2545
Phone Number
718-960-3730
Fax Number
person
Provider Business Mailing Address Details
Address
4422 3Rd Ave
City
Bronx
State
New York
Zip
10457-2545
Phone Number
718-960-3730
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Dentist Anesthesiologist
Taxonomy
1223D0004X
License No.
(New York)
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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