| NPI | 1710256292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS LEBRON MAZON President 787-285-2553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |