| NPI | 1073641163 |
|---|---|
| Other Name | CDT VILLA LOS SANTOS |
| Entity Type | Organization |
| Authorized Contact | ANGELA ROMAN Record Room Supervisor 1787-817-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2008-06-23 |