| NPI | 1417095944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A. LASALLE Dueno 787-833-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology Otology & Neurotology (Licence: PR 11064) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |