| NPI | 1912333527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAN ARIEL DIEPPA Owner 787-751-3535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2088P0231X Urology, Pediatric Urology |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |