| NPI | 1215198304 |
|---|---|
| Other Name | CEPA FAJARDO |
| Entity Type | Organization |
| Authorized Contact | MILTON EZEQUIEL SEGARRA President 787-720-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |