| NPI | 1376150680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN C CARRASQUILLO QUINONES President 787-314-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0120X Surgery, Pediatric Surgery |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |