| NPI | 1306044748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO JAVIER JIMENEZ-BOSCH President 787-210-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: PR 2660) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2008-06-19 |