| NPI | 1003969353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN LUZ DIAZ HERNANDEZ President 787-263-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PR 621) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2021-02-03 |