| NPI | 1396999835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE ROSA O PT Ometrist/Owner 787-818-2085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 489) |
| Enumeration Date | 2008-11-11 |
| Last Update Date | 2008-11-11 |