| NPI | 1003218637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS MENDEZ SANTIAGO Presidente 787-791-5712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 5572) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2014-09-26 |