| NPI | 1881984854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE BERRIOS Administrator 787-786-4133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2155) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2029) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |