| NPI | 1093886087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS HIRAM COLLAZO Executive Director 787-627-2476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |