| NPI | 1114367448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XAVIER ALEXIS TRAVERSO Chief Technology Officer & Director 787-236-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2021-01-11 |