NPI | 1790083301 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSE LUIS RIVERA ZAYAS President 787-773-0123 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 2107) |
Enumeration Date | 2011-03-06 |
Last Update Date | 2011-03-06 |