| NPI | 1164774972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISOL SANTIAGO President 787-915-6224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PR 16,100) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 17607) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |