| NPI | 1154510535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA M RODRIGUEZ Dentist 787-753-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 1839) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 1839) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2013-05-23 |