| NPI | 1922309335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY DAVID RAMOS President 787-392-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 12073) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 17490) |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-17 |