| NPI | 1356119754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN ROMERO CASILLAS Vice President 787-918-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-07-20 |