| NPI | 1699432013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIELA E TORRES CRUZ Facturadora 787-955-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2023-01-24 |