NPI | 1417093493 |
---|---|
Entity Type | Organization |
Authorized Contact | AMAURY ARNALDO ROMAN President 787-739-3376 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PR 5872) |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: GA 057659) |
261Q00000X Clinic/Center (Licence: MI 4301087098) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2020-08-22 |