| NPI | 1053516195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO ADOLFO COLBERG Plastic Surgeon 787-805-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 11240) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2020-08-22 |