| NPI | 1013918168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN ANTONIO VELAZQUEZ ROUSSET Owner 787-832-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PR 15369) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-02-27 |