| NPI | 1043373814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS LIONEL MARTINEZ Dueno 787-250-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |