| NPI | 1053573543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS LUIS LEON President 787-845-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2008-06-26 |