NPI | 1619193539 |
---|---|
Entity Type | Organization |
Authorized Contact | MANUEL J VAZQUEZ Excutive Director 787-848-0800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PR 12) |
Additional Taxonomies | 174400000X Specialist (Licence: PR 12) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2011-06-28 |