| NPI | 1710370630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ALEXANDER MIRANDA Sole Owner 787-306-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-19 |