| NPI | 1982285482 |
|---|---|
| Doing Business As | BELLA VISTA PEDIATRIC NEUROLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | JOSE G GRATACOS CFO 787-834-2350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-05-07 |