| NPI | 1639581523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIS DENNIS GRAJALES O PT Ometrist 787-629-2462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: PR 716) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2014-05-27 |