| NPI | 1699029637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A RIVERA Director 787-810-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 103T00000X Psychologist |
| 122300000X Dentist | |
| 133N00000X Nutritionist | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |