| NPI | 1245748318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR LUIS RIVERA REYES Sole Member 787-585-1588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PR 18030) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PR 18030) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2018-03-17 |