| NPI | 1366876096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARA NAHIR OTERO Dentist 787-855-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: PR 2777) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2013-08-29 |