| NPI | 1386767556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR MANUEL AVILES President 787-868-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 12624) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 14910) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |