| NPI | 1649525874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRAM D ORTEGA President 787-529-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 2903) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: PR 17586) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |