NPI | 1891103164 |
---|---|
Entity Type | Organization |
Authorized Contact | FERDINAND RIVERA-VILLALBA Doctor 787-833-6076 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: PR 27) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2014-07-30 |