| NPI | 1386903573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA C BEAUCHAMP Dermatologist/Owner 787-630-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: PR 17621) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |