| NPI | 1629279781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS FERNANDEZ-SIFRE Medical Director 787-751-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 6881) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 7387) |
| 174400000X Specialist (Licence: PR 9138) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-11-26 |