NPI | 1023730504 |
---|---|
Former Legal Business Name | HEALTHPROMED |
Entity Type | Organization |
Authorized Contact | IVONNE I RIVERA CEO 787-268-4171 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2022-09-13 |
Last Update Date | 2024-07-10 |