| NPI | 1679995385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN RODRIGUEZ Prosthodontist 787-265-5701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0700X Dentist, Prosthodontics | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |