| NPI | 1477691913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON A MERCADO President 787-882-0368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PR D2373) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2020-08-22 |