| NPI | 1104059062 |
|---|---|
| Former Legal Business Name | POLICLINICA ILEANMARIE PSC |
| Entity Type | Organization |
| Authorized Contact | ILEANA ALBINO CRUZ President 787-890-1674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-08-26 |