| NPI | 1801415047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL A COUTO CUERVO Owner 787-422-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-09-13 |