| NPI | 1245348176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO MONTILLA Administrator 787-895-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |