| NPI | 1972952760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LOPEZ Administrator 787-830-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 208000000X Pediatrics | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2016-06-13 |