| NPI | 1093092298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON E SANTIAGO President 787-560-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: PR 11251) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |