| NPI | 1235765983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RIVERA CRUZ Secretary 787-428-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics |
| 1223P0700X Dentist, Prosthodontics | |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |