| NPI | 1144813551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL A. GAVILANES Vice Presidente 787-510-0912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2021-03-04 |