| NPI | 1093258113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE C RODRIGUEZ PORTELA Owner 787-344-3553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center Podiatric (Licence: PR 103) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-28 |