| NPI | 1578345518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA MORALES TORRES Administradora 787-622-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |