| NPI | 1104628676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA SOFIA SANTIAGO ROSADO President And Treasurer 939-229-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2026-06-02 |