| NPI | 1548263031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA L. MALDONADO Secretary 787-769-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 000000) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-08-22 |