| NPI | 1174605026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZZETTE MONTALVO Major Staff Nurse 787-462-4108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: PR 10622) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |