NPI | 1114679248 |
---|---|
Entity Type | Organization |
Authorized Contact | MANUEL JOSE ORTIZ BUSTILLO President 787-893-3411 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
Enumeration Date | 2022-01-20 |
Last Update Date | 2022-04-18 |