| NPI | 1215929005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADAMES MARIN President 787-856-0844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VC0200X Obstetrics & Gynecology Critical Care Medicine | |
| 208000000X Pediatrics | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2015-06-25 |