| NPI | 1790337582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR TORRES LOZADA Presidente 787-281-0784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2023-02-20 |