| NPI | 1730496548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL JOSE GOMEZ President 787-735-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 0721) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |