| NPI | 1609010339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DIAZ Administrator 787-905-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PR 2100) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |