| NPI | 1295431070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA E GOMEZ FRIAS Vice President 787-635-2840 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |