NPI | 1164814042 |
---|---|
Entity Type | Organization |
Authorized Contact | RAFAEL E RAMIREZ DIAZ Owner 787-786-8540 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PR 1997) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2015-03-02 |