| NPI | 1558631630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA VEGA DE JESUS Executive Sub Director 787-480-3841 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 101) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |