| NPI | 1225797160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAZMIN SANTIAGO Credentialing Coordinator 787-898-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-04-01 |