| NPI | 1174809156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK L SEDA General Manager 787-513-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2011-10-23 |
| Last Update Date | 2013-07-11 |