| NPI | 1104977115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR LUIS QUESADA Assistant Dean Clinical Affairs 787-758-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2008-07-29 |