NPI | 1417163049 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMEN FERNANDEZ Administrator 787-854-1313 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: PR 6738) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 7834) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2020-08-22 |