| NPI | 1861100703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDAL ROSARIO LEON President 787-735-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207ZC0006X Pathology Clinical Pathology |
| 2085N0904X Radiology Nuclear Radiology | |
| 208600000X Surgery | |
| 261QR0200X Clinic/Center Radiology | |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |