| NPI | 1528299583 |
|---|---|
| Doing Business As | ANTI AGING PUERTO RICO |
| Entity Type | Organization |
| Authorized Contact | JAIME ANTONIO SALAS-RUSHFORD President 786-467-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2017-02-02 |