| NPI | 1083993745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO J GANDARA Presidente 787-552-1219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |