| NPI | 1003299934 |
|---|---|
| Former Legal Business Name | PEDIATRIC MEDICAL HOME |
| Entity Type | Organization |
| Authorized Contact | IRVIN D VALENTIN President 787-242-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |