| NPI | 1104210145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN LUIS ROMERO Owner 787-766-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 9038) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |