| NPI | 1023565801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEFINA A MELENDEZ-CABRERO Clinical Director/Owner 787-457-7219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 2764) |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2016-09-08 |