| NPI | 1255319703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY VELAZQUEZ Provider Enrollment 787-999-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2015-07-24 |