| NPI | 1417318536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL COLON NIEVES Owner 787-455-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: PR 2846) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-06-23 |