| NPI | 1386928349 |
|---|---|
| Former Legal Business Name | CDT HORMIGUEROS PREVENTIVE MEDICINE, INC. |
| Entity Type | Organization |
| Authorized Contact | JIMMY OLIVERA Administrator 787-484-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2085B0100X Radiology, Body Imaging | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2011-10-07 |