| NPI | 1407239122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME A PEDRAZA Regent Oficial 787-459-3925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 2063) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |