| NPI | 1639410475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZMARY GARCIA Vice President 787-787-2384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2750) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 2795) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |