| NPI | 1073182382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMER VALENTIN Member 787-412-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2021-06-21 |
| Last Update Date | 2022-11-01 |