| NPI | 1801867635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN HUMBERTO PACHECO President 787-882-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: PR 15174) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PR 15174) |
| 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: PR 15174) | |
| 207X00000X Orthopaedic Surgery (Licence: PR 15174) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |