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 |