| NPI | 1891347191 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ANDREA GONZALEZ President 787-691-0781  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | 
| Enumeration Date | 2019-07-16 | 
| Last Update Date | 2019-07-16 |