| NPI | 1760626634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILYN DE-JESUS Inter Medicine 787-774-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 13991) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 15909) |
| 174400000X Specialist (Licence: PR 13925) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |