| NPI | 1427494723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE RIVERA Dentist/Vicepresident 787-777-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2885) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: PR 2835) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |