| NPI | 1255696340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALBERTO TORRES Prostodontics 787-758-3804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 2756) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |