| NPI | 1528618410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN G FUENTES ARROYO Sole Mbr 787-403-3587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |