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 |