| NPI | 1245424902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAZMIN MOJICA-ARROYO Owner 787-382-9070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PR 13804) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |