| NPI | 1235312505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRISELLE MONTALVO Manager 787-306-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PR 10973) |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |