| NPI | 1801166947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSON XAVIER RIVERA CEO 787-209-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2891) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |