| NPI | 1417408790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE MING SHUM Sole Member 787-449-6954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PR 19336) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |