| NPI | 1023157823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA P CABRERO Dentist 787-753-7112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PR 1182) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 1653) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |