| NPI | 1316310733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISAEL TOLLEN Medical Evaluator 787-951-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 19195) |
| Enumeration Date | 2015-11-06 |
| Last Update Date | 2015-11-06 |