| NPI | 1477941946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN A ROSA Owner 787-915-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery (Licence: PR 2537) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2016-01-04 |