| NPI | 1952128084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MICHELLE ROSARIO CRUZ President 787-313-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-03-31 |