| NPI | 1063076768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE E RUIZ DIAZ Vice President,Treasurer 787-841-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-04-28 |
| Last Update Date | 2019-04-28 |