| NPI | 1740586916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L RIVERA Administrator 787-837-8667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PR D2131) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |