| NPI | 1922397223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA ENID DAVILA Duena 787-707-1983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |