| NPI | 1205642626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLLE CELESTE REYES MELENDEZ President 787-427-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2025-01-17 |