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 |