NPI | 1922368448 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD JOHM WETTERER Primary Officer 787-342-9228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PR 14536) |
Enumeration Date | 2012-05-17 |
Last Update Date | 2012-05-17 |