| NPI | 1770550642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO J. HADDOCK President 787-723-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: PR 1935) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-08-22 |