| NPI | 1033316856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA I MATOS Billing Manager 787-880-2363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 207R00000X Internal Medicine | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208D00000X General Practice (Licence: PR 13836) | |
| 213E00000X Podiatrist (Licence: PR 000085) | |
| 261QR0206X Clinic/Center Radiology, Mammography | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-05-16 |