| NPI | 1043515869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENARO MERCADO Nurse 787-833-0663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: PR 017935) |
| Additional Taxonomies | 251S00000X (Licence: PR 017935) |
| 261Q00000X Clinic/Center (Licence: PR 017935) | |
| 261QC1500X Clinic/Center, Community Health (Licence: PR 017935) | |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |