NPI | 1639360852 |
---|---|
Entity Type | Organization |
Authorized Contact | NARCISO REYES CARRILLO Owner 787-889-3453 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 10968) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2007-08-05 |