| NPI | 1770743585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ANTONIO SALAS RUSHFORD CEO / Owner 787-525-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 16462) |
| Enumeration Date | 2008-06-15 |
| Last Update Date | 2008-06-15 |