| NPI | 1679529648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANA L SANTOS Administrator 787-842-7856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 12464) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 2615) |
| 174400000X Specialist (Licence: PR 14978) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2013-01-24 |