| NPI | 1467875112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL PAULO President 787-242-5942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2855) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2870) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2014-01-31 |