| NPI | 1174071807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE M DIAZ-DIAZ Practitioner 787-306-4284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: FL ME122262) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2016-09-11 |