| NPI | 1124533468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN CHAMORRO President 787-852-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |