| NPI | 1760709059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIEZER SOSA FARIA Administrator 787-832-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 014191) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |