| NPI | 1033117023 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | LUIS A. RIVERA M.D. 787-792-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 5686) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2023-09-06 |