| NPI | 1619363744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ANTONIO NEGRON President 787-518-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2910) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 1817) |
| 1223P0300X Dentist, Periodontics (Licence: PR 892) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2015-04-15 |