| NPI | 1073797817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE ROMAN Delegate Official 787-614-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 15268) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 208D00000X General Practice | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2014-01-07 |