| NPI | 1063925758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA VICTORIA DIAZ Periodontist 787-403-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: PR 003156) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |