NPI | 1710010996 |
---|---|
Entity Type | Organization |
Authorized Contact | MYRIAM TROCHE Credentialing Coordinator 787-758-2525 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2007-03-14 |
Last Update Date | 2020-08-22 |