| NPI | 1992474571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA ORTIZ-DIAZ President 787-219-7943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center Oral and Maxillofacial Surgery |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |