| NPI | 1053081729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENITA VILLEGAS Director 787-668-7872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-09-15 |