NPI | 1811257397 |
---|---|
Entity Type | Organization |
Authorized Contact | RADAMES TIRADO Owner/Medical Provider 787-439-1306 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: PR 9191) |
Additional Taxonomies | 171100000X Acupuncturist |
Enumeration Date | 2012-05-18 |
Last Update Date | 2012-05-18 |