| NPI | 1225377658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SANTIAGO President 787-725-3440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PR 1520) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 1520) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |