| NPI | 1225287394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVONNE IRIZARRY VALLE Administradora 787-882-5705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2085B0100X Radiology, Body Imaging | |
| 208C00000X Colon & Rectal Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |