| NPI | 1508692476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYLA D CENTENO AVILES President 787-716-9137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |