| NPI | 1235411711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTIAGO ELI MEDINA-MANGUAL Owner 787-760-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2016-02-04 |