| NPI | 1568785673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO J JIMENEZ President 787-200-5542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PR 1798) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |