| NPI | 1053644757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUSTAVO CEDENO Medical Director/Owner 787-883-1379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 12098) |
| Enumeration Date | 2009-09-12 |
| Last Update Date | 2009-09-12 |