| NPI | 1215585906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALEJANDRO DIAZ RUBAYO President 787-765-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |