| NPI | 1225503568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E PRATS President 939-699-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |