| NPI | 1154898575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO L BENGOA Manager 787-625-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |