| NPI | 1033583547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO ROSA President 787-396-5508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PR 2793) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 2471) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |