| NPI | 1710303755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN R VIVES PAGAN Dentist 787-783-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR D1452) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |