| NPI | 1538375803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO ABELLA Owner 787-787-2621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PR 1090) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 1039) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |