| NPI | 1043855463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADA RIVERA President 787-734-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 126800000X Dental Assistant | |
| 122300000X Dentist | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2019-11-08 |