| NPI | 1649501180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO F PORRAS-POLO President 772-464-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME94761) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |