| NPI | 1235255225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURILO I ACOSTA Presidente 787-785-2694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2008-02-11 |