| NPI | 1154686574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA L AVILES CASTILLO President 787-504-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PR 018361) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2024-09-17 |