| NPI | 1093074072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERLEY ROSE VALDEZ Owner 787-505-2652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME106741) |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-06-15 |