| NPI | 1881789444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH VEGA Presidente 787-886-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 4300) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PR 14762) |
| 208D00000X General Practice (Licence: PR 15760) | |
| 213E00000X Podiatrist (Licence: PR 041) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |