| NPI | 1104250992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISNETTE JIMENEZ-NEGRON Public Health Educator 787-515-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: PR 1002) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-10-22 |