| NPI | 1053681999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA VEGA DE JESUS Executive Sub Director 787-480-3841 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PR 4) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |