| NPI | 1053904821 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JESUS A MALDONADO HERNANDEZ President 787-413-1545  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty | 
| Enumeration Date | 2021-02-12 | 
| Last Update Date | 2021-02-12 |