| NPI | 1104896190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA AGOSTINI VARGAS Executive Director 787-822-2170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2021-04-22 |