| 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 |