| NPI | 1205410750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO BIRRIEL VEGA Presidente 787-914-5435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 208D00000X General Practice |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |