| NPI | 1255734554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA DAMARIS SANTINI O PT Ometra 787-238-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PR 448) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |