| NPI | 1104544378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA RODRIGUEZ CEO 787-831-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2024-06-06 |