| NPI | 1326745571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA MARIE GONZALEZ SANTIAGO Medical Director 939-355-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2026-05-14 |