| NPI | 1194251512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIANA M ORTIZ-SANTIAGO Sole Member 787-974-7868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PR 18803) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |