| NPI | 1124379409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN RIVERA IGLESIAS President Owner 787-599-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-10-24 |