| NPI | 1447219530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO E RIVERA President 787-869-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2067) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2020-08-22 |