| NPI | 1386070878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M FELIU President 787-533-5573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PR 2241) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 945) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 2197) | |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-09-17 |