| NPI | 1780416362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYRA CAMACHO ROLDOS Business Administrator & Dentist 787-255-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-09-12 |