| NPI | 1184887796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR RAMON TALAVERA President 787-898-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2022-07-21 |