| NPI | 1013975069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER MARTINEZ Administrator 787-257-0060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: PR 93498) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |