| NPI | 1780963546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRAM PABON Md 787-412-6241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 16514) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 15712) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |