| NPI | 1700299104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YILDA M RIVERA President 787-753-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 618) |
| Additional Taxonomies | 122300000X Dentist (Licence: PR 2767) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 2472) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: PR 2841) | |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |