NPI | 1235271370 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE MORINGLANE Pediatritian 787-747-0300 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PR 13537) |
Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PR 11228) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |