| NPI | 1154534865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHADIJAH A. HAMDALLAH President 787-769-4034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PR 11668) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2012-10-12 |