NPI | 1063761153 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGEL L SENQUIZ President 787-607-4192 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty (Licence: PR 5367) |
Enumeration Date | 2012-09-05 |
Last Update Date | 2012-09-05 |