| NPI | 1164593687 |
|---|---|
| Former Legal Business Name | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | RENE PEREZ President 787-787-7078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2011-05-19 |