| NPI | 1972779924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL DISLA President 787-725-1703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 1978) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |