| NPI | 1225390123 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | IVAN F IRIZARRY RODRIGUEZ President 787-366-0517  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PR 14633)  | 
| Enumeration Date | 2012-06-15 | 
| Last Update Date | 2012-06-15 |