| NPI | 1114493152 |
|---|---|
| Former Legal Business Name | LUQUILLO MEDICAL INC. |
| Entity Type | Organization |
| Authorized Contact | FRANK A GREGORY President 787-513-7292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2021-04-14 |